Active NPI
Blue Ridge Medical Management Corporation
Doing business as Ballad Health Medical Associates
- Pulmonary Disease Physician
- Elizabethton, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
- Doing business as
- Ballad Health Medical Associates
MSMG Pulmonology of Elizabethton - Practice address
- 1497 W Elk Ave Ste 22B
Elizabethton, TN 37643-2896 - Phone
- (423) 547-5289
- Fax
- (423) 610-3430
- NPI assigned
- Mar 21, 2017
- Last updated
- Aug 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carl Steven Kilgore
- Title
- President/Ceo
- Phone
- (423) 302-3051
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1497 W Elk Ave Ste 22B
Elizabethton, TN 37643-2896
Mailing address
1497 W Elk Ave Ste 22B
Elizabethton, TN 37643-2896
Phone (423) 547-5289
Other names 3
- Ballad Health Medical Associates
- MSMG Pulmonology of Elizabethton
- BHMA Pulmonology and Sleep Medicine Elizabethton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204000996 | TN | Part B Supplier - Clinic/Group Practice | 9739099441 |
Receives reassigned benefits from 562 practitioners This NPI is an additional NPI on the enrollment Practice locations: Johnson City, TN; Kingsport, TN; Mountain City, TN; Elizabethton, TN; Erwin, TN; Greeneville, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2328950 | Bhma Pulmonology Dba Bhma Pulmonology | Certificate of waiver | Aug 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
1497 W Elk Ave
Ste 22B
Elizabethton, TN 37643
Phone (423) 547-3380
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Medical Physician Assistant
- Bluff City, TN
- NPI 1295456572
-
- Pulmonary Disease Physician
- Johnson City, TN
- NPI 1942238746
-
- Medical Physician Assistant
- Sevierville, TN
- NPI 1588606537
-
- Emergency Medicine Physician
- Morristown, TN
- NPI 1811938194
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1417939414
-
- Physician Assistant
- Orlando, FL
- NPI 1255880266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1669903803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1497 W ELK AVE STE 22B",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432896",
"telephone_number": "423-547-5289",
"fax_number": "423-610-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1497 W ELK AVE STE 22B",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432896",
"telephone_number": "423-547-5289",
"fax_number": "423-610-3430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE MEDICAL MANAGEMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-21",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A",
"authorized_official_last_name": "KILGORE",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "423-302-3051",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ballad Health Medical Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MSMG Pulmonology of Elizabethton",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BHMA Pulmonology and Sleep Medicine Elizabethton",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elizabethton, TN
- Blue Ridge Medical Management Corporation (Ballad Health Medical Associates)
- Blue Ridge Medical Management Corporation (Dba MSMG FP Eliz)
- Blue Ridge Medical Management Corporation (Ballad Health Medical Associates)
- Blue Ridge Medical Management Corporation (MSMG Im Eliz)
- Blue Ridge Medical Management Corporation (MSMG FM Elizabethton B)
- Blue Ridge Medical Management Corporation (MSMG Ortho Eliz)
- Blue Ridge Medical Management Corporation (DBA Mountain Empire Medical & Surgical Associates)
- Grace Reddick Gerlock Boerma, APN
- Heather Nicole Bolton
- Ashley Danielle Bowman, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.