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

Blue Ridge Medical Management Corporation

Organization Pediatric Urology Physician · NPI 1568958775

Blue Ridge Medical Management Corporation is a Pediatric Urology Physician in Johnson City, Tennessee. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

408 N State Of Franklin Rd Ste 31F
Johnson City, TN 37604-6088
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

Pediatric Urology Physician (primary) Taxonomy 2088P0231X

Record details

NPI number1568958775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; Msmg Pediatric Urology Johnson City; Bhma Pediatric Urology Johnson City
NPI enumeratedJuly 11, 2018
Last updated in NPPESMarch 29, 2019
Mailing address408 N State Of Franklin Rd Ste 31f, Johnson City, TN 37604-6088

Other providers in Johnson City