BALLAD HEALTH MEDICAL ASSOCIATES – NPI #1386028215
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BALLAD HEALTH MEDICAL ASSOCIATES is a provider located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1386028215 to BALLAD HEALTH MEDICAL ASSOCIATES on July 09, 2015. 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 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

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
1386028215
Enumeration Date

(about 11 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 Pediatric Hospitalists NSCH
Doing Business As (dba)
MSMG Hospital Pediatrics NSCH
Primary location
400 N STATE OF FRANKLIN RD
OFFICE OF NISWONGER CEO
JOHNSON CITY, TN 37604-6035
Phone: (423) 431-4847 Fax: (423) 431-3949
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
MEDICAIDNC1386028215
MEDICAIDTNQ013912
MEDICAIDVA1386028215
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
208000000X
- Pediatrics (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.