BALLAD HEALTH MEDICAL ASSOCIATES – NPI #1093120222
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

BALLAD HEALTH MEDICAL ASSOCIATES is a psychiatry & neurologist located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1093120222 to BALLAD HEALTH MEDICAL ASSOCIATES on June 26, 2014. 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 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 7 years ago on Mar 28, 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
1093120222
Enumeration Date

(about 12 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 Behaviroal Health Woodridge OP JC
Doing Business As (dba)
MSMG Beh Hlth JC - OP
Primary location
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6034
Phone: (423) 431-7047 Fax: (423) 979-0569
Mailing address
Same as primary location
Organization Subpart
Yes - BALLAD HEALTH MEDICAL ASSOCIATES is subpart of another organization.
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
MEDICAIDTNQ013746
MEDICAIDVA1093120222
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
2084P0800X
- Psychiatry & Neurology / Psychiatry (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.