OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1093120222 · Psychiatry Physician · Johnson City, TN
Provider details
- NPI number
- 1093120222
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Blue Ridge Medical Management Corporation
- Organization subpart
- Yes
- Authorized official
- Carl Kilgore, President(423) 302-3051
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
403 N State of Franklin Rd
Johnson City, TN 37604-6034
Phone: (423) 431-7047
Fax: (423) 979-0569
Street-level locationGet directions
Mailing address
403 N State of Franklin Rd
Johnson City, TN 37604-6034
Other names (DBA / former)
- Other name
- Bhma Behaviroal Health Woodridge Op Jc
- Doing business as
- Ballad Health Medical Associates
- Doing business as
- Ballad Health Medical Associates
- Doing business as
- Msmg Beh Hlth Jc - Op
Registry dates
- Enumerated
- 2014-06-26
- Last updated
- 2019-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.