BLUE RIDGE MEDICAL MANAGEMENT CORPORATION


Address: 2000 Brookside Dr, 1st Floor Room 12, Kingsport, TN 37660-4627
Phone: 4238575907

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1669918314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669918314
Entity Type Organization
Organization Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Other Organization Name BALLAD HEALTH MEDICAL ASSOCIATES
Practice Address 2000 Brookside Dr
1st Floor Room 12
Kingsport
TN 37660-4627
Practice Telephone 4238575907
Practice Fax Number 4238575904
Mailing Telephone 4238575907
Mailing Fax Number 4238575904
Enumeration Date 2017-01-18
Last Update Date 2019-03-29
Authorized Official Name MR. CARL STEVEN KILGORE (PRESIDENT)
Authorized Official Telephone 4233023051
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208M00000X Hospitalist Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1669918314 05
TN Q026077 05

Other Provider/Organization Names

Other Name Type Code
Ballad Health Medical Associates Doing Business As Name - Organization
BHMA Transitional Care Kingsport Other Name - Individual/Organization
MSMG Transitional Care Doing Business As Name - Organization

Other Provider IDs and Locations

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
1558831115 Blue Ridge Medical Management Corporation Internal Medicine 404 Bemberg Rd, Elizabethton, TN 37643 2018-11-27
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

Other Data Sources

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

Office Location

Street Address 2000 BROOKSIDE DR
1ST FLOOR ROOM 12
City KINGSPORT
State TN
Zip Code 37660-4627

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205825528 Carol Ann Brown Nurse Anesthetist, Certified Registered 2000 Brookside Dr, Kingsport, TN 37660 2005-10-19
1548734338 Jennifer Leigh Johnson Nurse Practitioner 2000 Brookside Dr, Kingsport, TN 37660-4627 2019-01-15
1730628785 Amanda Genco Clinical Nurse Specialist 2000 Brookside Dr, Kingsport, TN 37660-4627 2017-02-22
1134585326 Michael John May Nurse Practitioner 2000 Brookside Dr, Kingsport, TN 37660-4627 2016-01-05
1386039006 Susan Netherland Occupational Therapist 2000 Brookside Dr, Kingsport, TN 37660-4627 2015-03-31
1467859066 Ariel Rockett Physical Therapist 2000 Brookside Dr, Kingsport, TN 37660 2014-11-25
1881097913 Randi Teaster Nurse Practitioner 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660-4627 2014-10-03
1043627441 Valley Ridge Emergency Physicians, LLP Emergency Medicine 2000 Brookside Dr, Kingsport, TN 37660-4627 2014-07-17
1184053472 Madonna Lin Banks Registered Nurse 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660-4627 2013-11-06
1043653991 Anthony Tin-lung Ng Emergency Medicine 2000 Brookside Dr, Kingsport, TN 37660-4627 2013-04-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750909891 Nancy Gober Pharmacist Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 2020-07-06
1700437621 Tammy Denise Leblanc Technician 125 Lancer Rd, Kingsport, TN 37660 2019-09-23
1831743392 Independent Physical Therapy Occupational Therapist 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 2019-08-01
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1053813527 Pulitzer Orthodontics, LLC Dentist 1200 Pulitzer Place, Kingsport, TN 37660 2018-03-01
1174038749 Sbh-kingsport Psychiatric Hospital 1025 Executive Park Blvd, Kingsport, TN 37660 2017-12-05
1548771447 Sara B Ball Registered Nurse 111 W Stone Dr Ste 240, Kingsport, TN 37660 2017-10-18
1821525361 Ashley Brook Weems Nurse Practitioner Six Sheridan Square Suite 100, Kingsport, TN 37660 2017-05-15
1639625643 Stephanie H Garris Nurse Practitioner 117 W Sevier Ave Ste 120, Kingsport, TN 37660 2016-08-30
1073965679 Teresa Anne Starke Physician Assistant 8 Sheridan Square, Suite 110, Kingsport, TN 37660 2016-07-07
Find all providers in zip 37660

Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235634361 Linda Chong Moody Hospitalist 130 W Ravine Rd, Kingsport, TN 37660-3837 2018-03-29
1932537107 Cardiovascular Associates, PC Hospitalist 130 W Ravine Rd, Kingsport, TN 37660-3837 2013-10-24
1629017025 Mircea Boiciuc Hospitalist 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660-7569 2006-06-04
1760469084 Vitaly Nazarov Hospitalist 130 W Ravine Rd, Kingsport, TN 37660-3837 2005-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467095372 Courtney Elizabeth English Hospitalist 5000 Hughes Xing # 110, Franklin, TN 37064-1738 2019-10-23
1871057158 Williamson Hospitalist Program Hospitalist 4323 Carothers Pkwy Ste 205, Franklin, TN 37067-5916 2019-01-30
1659855435 Lisa J Godwin Hospitalist 1419 Parkridge Cir, Knoxville, TN 37924-2154 2018-09-18
1689060907 Desiree Burroughs-ray Hospitalist Regional One Health, 877 Jefferson Avenue, Memphis, TN 38103-2807 2015-04-14
1326434150 Yvonne Berko Hospitalist 1005 Dr.d.b.todd Jr Blvd, Department of Internal Medicine, Nashville, TN 37208 2015-04-08
1942642152 Stephanie Lynn Urell Hospitalist 200 S Westland Ave Ste 2, Gallatin, TN 37066-3030 2013-07-29
1093058018 Ravi Prashant Mishra Hospitalist 2400 Patterson St Ste 311, Nashville, TN 37203-6533 2013-03-27
1053608364 Serena Vayda Hospitalist 2312 Elliston Pl, Nashville, TN 37203-5259 2011-07-07
1588979470 Matthew Erickson Edwards Hospitalist 1924 Alcoa Hwy Ste U56, Knoxville, TN 37920-1511 2010-08-16
1396064531 Carroll Hospital Associates, Pllc Hospitalist 631 R. B. Wilson Drive, Huntingdon, TN 38344 2010-05-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City KINGSPORT
Zip Code 37660

Improve Information

Please comment or provide details below to improve the information on BLUE RIDGE MEDICAL MANAGEMENT CORPORATION.

Dataset Information

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.

Trending Searches