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

Blue Ridge Medical Management Corporation

Organization Pediatrics Physician · NPI 1386028215

Blue Ridge Medical Management Corporation provides Pediatrics Physician services in Johnson City, Tennessee. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

400 N State Of Franklin Rd Ofc OF Niswonger Ceo
Johnson City, TN 37604-6035
Phone: (423) 431-4847
Fax: (423) 431-3949
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 number1386028215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; Msmg Hospital Pediatrics Nsch; Bhma Pediatric Hospitalists Nsch
NPI enumeratedJuly 9, 2015
Last updated in NPPESMarch 29, 2019
Mailing address400 N State Of Franklin Rd, Office Of Niswonger Ceo, Johnson City, TN 37604-6035

Other providers in Johnson City