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 1619349578

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 31E
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 Gastroenterology Physician Taxonomy 2080P0206X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1619349578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; Msmg Pediatric Gastroenterology; Bhma Pediatric Gastroenterology Johnson City
NPI enumeratedOctober 30, 2015
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address408 N State Of Franklin Rd, Suite 31e, Johnson City, TN 37604-6089

Other providers in Johnson City