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 1992105431

Blue Ridge Medical Management Corporation is a Pediatrics Physician in Kingsport, Tennessee. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

2002 Brookside Dr Ste 200
Kingsport, TN 37660-4634
Phone: (423) 224-3933
Fax: (423) 224-3934
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 number1992105431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; Msmg Peds Kpt; Bhma Pediatrics Kingsport
NPI enumeratedSeptember 3, 2014
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634

Other providers in Kingsport