Blue Ridge Medical Mangement Corporation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BLUE RIDGE MEDICAL MANGEMENT CORPORATION

Doing business as

Ballad Health Medical Associates
First Assist Urgent Care

Practice address

1744 E Andrew Johnson Hwy
Greeneville, TN 37745-4278

Phone

(423) 787-7496

Fax

(423) 787-7498

NPI assigned

May 17, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steve Kilgore

Title

President

Phone

(423) 302-3051

Specialties & licenses 1

Addresses

Other names 3

• Ballad Health Medical Associates Doing business as
• First Assist Urgent Care Doing business as
• BHMA Urgent Care Greeneville Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 4

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.

• Theodore D Fox, NP

  • Family Nurse Practitioner
  • Greeneville, TN
  • NPI 1164815817
  NPD
• Lisa Carol Kirk, CFNP

  • Family Nurse Practitioner
  • Morristown, TN
  • NPI 1942314539
  NPD
• Selma Kominek, MD

  • Neurological Surgery Physician
  • Johnson City, TN
  • NPI 1750518544
  NPD
• Judy C Umstott, NP

  • Family Nurse Practitioner
  • Abingdon, VA
  • NPI 1548647787
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700313012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 E ANDREW JOHNSON HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454278",
            "telephone_number": "423-787-7496",
            "fax_number": "423-787-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 E ANDREW JOHNSON HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454278",
            "telephone_number": "423-787-7496",
            "fax_number": "423-787-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE MEDICAL MANGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-302-3051"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballad Health Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Assist Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHMA Urgent Care Greeneville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blue Ridge Medical Management Corporation (DBA Heart & Vascular Group)
• Blue Ridge Medical Management Corporation (Ballad Health Medical Associates)
• Blue Ridge Medical Management Corporation (Ballad Health Medical Associates)
• Blue Ridge Medical Management Corporation (DBA Applalachian Neurosurgical Clinic)
• Blue Ridge Medical Management Corporation (MSMG Cardiology Greeneville)
• Sylvia D. Boesch-Lewis, FNP-BC
• Debbie Ann Bolton, APN
• Johnathan Dallas Boone, PHARMD
• Courtney Larae Boren, OTR/L
• Kyle W Boren, DO

• Urgent Care Clinic/Center in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Urgent Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.