OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1215082730 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Johnson City, TN
Provider details
- NPI number
- 1215082730
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- C Kilgore, President(423) 302-3051
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
310 N State of Franklin Rd
Suite 101
Johnson City, TN 37604-6008
Phone: (423) 929-7393
Fax: (423) 929-0872
Approximate (ZIP-level) locationGet directions
Mailing address
310 N State of Franklin Rd
Johnson City, TN 37604-6008
Other names (DBA / former)
- Other name
- Bhma Cardiovascular and Thoracic Surgery Johnson City
- Doing business as
- Ballad Health Medical Associates
- Doing business as
- Msmg Cvt Jc
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2019-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.