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

Blue Ridge Medical Mangement Corporation

Organization Vascular Surgery Physician · NPI 1043739881

Blue Ridge Medical Mangement Corporation provides Vascular Surgery Physician services in Johnson City, Tennessee. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

2 Professional Park Dr Ste 11
Johnson City, TN 37604-6584
Phone: (423) 434-7400
Fax: (423) 434-7401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1043739881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; Msmg Vascular Surgery Jc; Bhma Vascular Surgery Johnson City
NPI enumeratedSeptember 13, 2017
Last updated in NPPESJuly 21, 2022
Mailing address2 Professional Park Dr Ste 11, Johnson City, TN 37604-6584

Other providers in Johnson City