OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1104171826 · Hospitalist Physician · Abingdon, VA
Provider details
- NPI number
- 1104171826
- Entity type
- Organization
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Kilgore, President(423) 302-3051
- License
- 0101246669 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
16000 Johnston Memorial Dr
Fourth Floor
Abingdon, VA 24211-7664
Phone: (276) 258-4050
Fax: (276) 258-4056
Approximate (ZIP-level) locationGet directions
Mailing address
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Other names (DBA / former)
- Other name
- Bhma Hospitalists Jmh
- Doing business as
- Ballad Health Medical Associates
- Doing business as
- Msmg Hima Jmh
Registry dates
- Enumerated
- 2012-07-18
- 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.