BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1558831115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558831115 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Other Organization Name | BALLAD HEALTH MEDICAL ASSOCIATES |
| Practice Address |
404 Bemberg Rd Elizabethton TN 37643 |
| Practice Telephone | 4235436036 |
| Practice Fax Number | 4234312983 |
| Mailing Telephone | 4235436036 |
| Mailing Fax Number | 4234312983 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-03-29 |
| Authorized Official Name | CARL KILGORE (PRESIDENT) |
| Authorized Official Telephone | 4233023051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ballad Health Medical Associates | Doing Business As Name - Organization |
| BHMA Sleep Medicine Elizabethton | Other Name - Individual/Organization |
| MSMG Sleep Diagnostics Elizabethton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588128755 | Blue Ridge Medical Management Corporation | Family Medicine | 2030 Temple Hill Rd Ste B, Erwin, TN 37650-8721 | 2019-01-22 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1255816252 | Blue Ridge Medical Management Corporation | Clinic/Center | 1901 S Shady St Ste A, Mountain City, TN 37683-2021 | 2018-09-26 |
| 1184105272 | Blue Ridge Medical Management Corporation | Ophthalmology | 410 N State of Franklin Rd Ste 130b, Johnson City, TN 37604-6972 | 2018-08-27 |
| 1841770864 | Blue Ridge Medical Management Corporation | Pediatrics | 408 N State of Franklin Rd Ste 31g, Johnson City, TN 37604-6088 | 2018-08-20 |
| 1568958775 | Blue Ridge Medical Management Corporation | Urology | 408 N State of Franklin Rd Ste 31f, Johnson City, TN 37604-6088 | 2018-07-11 |
| 1477055317 | Blue Ridge Medical Management Corporation | Urology | 16000 Johnston Memorial Dr Ste 309, Abingdon, VA 24211-7664 | 2018-03-07 |
| 1669903803 | Blue Ridge Medical Management Corporation | Internal Medicine | 1497 W Elk Ave Ste 22b, Elizabethton, TN 37643-2896 | 2017-03-21 |
| 1245771757 | Blue Ridge Medical Management Corporation | Internal Medicine | 1410 Park Ave Nw, Norton, VA 24273 | 2017-03-16 |
| 1730542473 | Blue Ridge Medical Management Corporation | Family Medicine | 3175 Linden Dr, Ste 3, Bristol, VA 24202-5849 | 2016-03-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION | 303 Med Tech Parkway, Johnson City, Tennessee 37604 |
| North Carolina Corporations | Blue Ridge Medical Management Corporation | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Street Address |
404 BEMBERG RD |
| City | ELIZABETHTON |
| State | TN |
| Zip Code | 37643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
| 1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
| 1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
| 1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
| 1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
| 1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
| 1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
| 1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
| 1124281894 | Makram Jurdi | Internal Medicine | 1501 W. Elk St, Elizabethton, TN 37643 | 2008-07-03 |
| Find all providers in zip 37643 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477091486 | Premier Medical Consultants,llc | Internal Medicine | 1707 Grove Drive, Attn. Kathleen Browning, Columbia, TN 38401-3840 | 2017-02-09 |
| 1689073397 | Sleep Medicine Associates, Pllc | Internal Medicine | 7103 Bakers Bridge Ave, Suite 101, Brentwood, TN 37027-2892 | 2014-08-19 |
| 1528369766 | Apex Sleep Professionals, LLC | Internal Medicine | 204 Lynn Garden Dr, Ste:2, Kingsport, TN 37660-3191 | 2010-11-04 |
| 1356474415 | Dr. Vijay Pethkar Md Pllc | Internal Medicine | 780 N Mount Juliet Rd, Mount Juliet, TN 37122-3323 | 2007-03-14 |
| 1770612236 | Appalachian Sleep Disorders Center LLC | Internal Medicine | 488 S. Florence Ave., Jellico, TN 37762-2378 | 2007-03-02 |
| 1003914201 | Sleep Centers of Middle Tennessee LLC | Internal Medicine | 1505 Williams Dr Ste 200, Murfreesboro, TN 37129-3755 | 2006-09-20 |
| 1831156686 | Advanced Center for Sleep Disorders, Inc | Internal Medicine | 6624 Lee Hwy, Chattanooga, TN 37421-2421 | 2006-04-26 |
| 1144284662 | Louviere Enterprises, Inc. | Internal Medicine | 386 Carriage House Dr Ste D, Jackson, TN 38305 | 2006-04-13 |
| 1265057855 | Tn Lung and Sleep Center LLC | Internal Medicine | 221 N Oak Ave, Cookeville, TN 38501-2437 | 2020-06-10 |
| 1174144778 | Apex Pulmonary and Sleep Medicine, Pllc | Internal Medicine | 130 Timber Creek Dr, Cordova, TN 38018-4234 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTON |
| Zip Code | 37643 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.