BALLAD HEALTH MEDICAL ASSOCIATES – NPI #1255634564
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BALLAD HEALTH MEDICAL ASSOCIATES is a provider located in ELIZABETHTON, TN. NPPES has assigned the NPI number 1255634564 to BALLAD HEALTH MEDICAL ASSOCIATES on December 08, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BALLAD HEALTH MEDICAL ASSOCIATES” is a dba name, the actual legal business name for this organization is BLUE RIDGE MEDICAL MANAGEMENT CORPORATION. The NPI data also shows multiple names associated with this provider such as BALLAD HEALTH MEDICAL ASSOCIATES and 2 other listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Mar 29, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BALLAD HEALTH MEDICAL ASSOCIATES below.

NPI Profile for
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI Number
1255634564
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Doing Business As (dba): BALLAD HEALTH MEDICAL ASSOCIATES
Other name(s)
All associated names:
Doing Business As (dba)
BALLAD HEALTH MEDICAL ASSOCIATES
Other Name
BHMA Family Medicine Elizabethton
Doing Business As (dba)
MSMG FP ELIZ
Primary location
1497 WEST ELK AVE
SUITE 21
ELIZABETHTON, TN 37643
Phone: (423) 542-7420 Fax: (423) 542-7425
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARL KILGORE
PRESIDENT
Phone: (423) 302-3051
Updated
Identifiers

Identifiers for BALLAD HEALTH MEDICAL ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEPARTMENT OF LABORTN020487839
MEDICAIDTN1526580
MEDICAIDVA1255634564
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.