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 1992105431

Blue Ridge Medical Management Corporation provides Pediatrics Physician services in Kingsport, Tennessee. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

2002 Brookside Dr Ste 200
Kingsport, TN 37660-4634
Phone: (423) 224-3933
Fax: (423) 224-3934
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 number1992105431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; Msmg Peds Kpt; Bhma Pediatrics Kingsport
NPI enumeratedSeptember 3, 2014
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634

Other providers in Kingsport