Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Ridge Medical Management Corporation

Organization Neurological Surgery Physician · NPI 1003152307

Blue Ridge Medical Management Corporation provides Neurological Surgery Physician services in Johnson City, Tennessee. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

410 N State Of Franklin Rd Ste 120
Johnson City, TN 37604-6971
Phone: (423) 431-2350
Fax: (423) 431-2372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1003152307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President / Ceo · (423) 302-3051
Other names Ballad Health Medical Associates; Msmg Neurosurg Jc; Bhma Neurosurgery And Spine Jc
NPI enumeratedDecember 14, 2012
Last updated in NPPESMarch 28, 2019
Mailing address410 N State Of Franklin Rd, Suite 120, Johnson City, TN 37604-6971

Other providers in Johnson City