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

Blue Ridge Medical Management Corporation

Organization Pediatric Urology Physician · NPI 1568958775

Blue Ridge Medical Management Corporation provides Pediatric Urology Physician services in Johnson City, Tennessee. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

408 N State Of Franklin Rd Ste 31F
Johnson City, TN 37604-6088
Phone: (423) 431-4946
Fax: (423) 431-4947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X

Record details

NPI number1568958775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; Msmg Pediatric Urology Johnson City; Bhma Pediatric Urology Johnson City
NPI enumeratedJuly 11, 2018
Last updated in NPPESMarch 29, 2019
Mailing address408 N State Of Franklin Rd Ste 31f, Johnson City, TN 37604-6088

Other providers in Johnson City