Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Ridge Medical Management Corporation

Organization Internal Medicine Physician · NPI 1134500218

Blue Ridge Medical Management Corporation is an Internal Medicine Physician in Johnson City, Tennessee. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
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Practice location Address checks out

408 N State Of Franklin Rd Ste 31C
Johnson City, TN 37604-6089
Phone: (423) 431-4946
Fax: (423) 431-4947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pediatric Neurodevelopmental Disabilities Physician Taxonomy 2080P0008X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1134500218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; Msmg Pediatric Neurology; Bhma Pediatric Neurology Jc
NPI enumeratedJune 15, 2015
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address408 N State Of Franklin Rd, Suite 31c, Johnson City, TN 37604-6089

Other providers in Johnson City