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

Blue Ridge Medical Management Corporation

Organization Psychiatry Physician · NPI 1093120222

Blue Ridge Medical Management Corporation provides Psychiatry Physician services in Johnson City, Tennessee. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

403 N State Of Franklin Rd
Johnson City, TN 37604-6034
Phone: (423) 431-7047
Fax: (423) 979-0569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1093120222
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlue Ridge Medical Management Corporation
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; Ballad Health Medical Associates; Msmg Beh Hlth Jc - Op; Bhma Behaviroal Health Woodridge Op Jc
NPI enumeratedJune 26, 2014
Last updated in NPPESMarch 28, 2019
Mailing address403 N State Of Franklin Rd, Johnson City, TN 37604-6034

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