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

Blue Ridge Medical Management Corporation

Organization Pediatrics Physician · NPI 1386028215

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

In the registry since
2015

Practice location Address checks out

400 N State Of Franklin Rd Ofc OF Niswonger Ceo
Johnson City, TN 37604-6035
Phone: (423) 431-4847
Fax: (423) 431-3949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1386028215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; Msmg Hospital Pediatrics Nsch; Bhma Pediatric Hospitalists Nsch
NPI enumeratedJuly 9, 2015
Last updated in NPPESMarch 29, 2019
Mailing address400 N State Of Franklin Rd, Office Of Niswonger Ceo, Johnson City, TN 37604-6035

Other providers in Johnson City