BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1639649296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639649296 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Other Organization Name | BALLAD HEALTH MEDICAL ASSOCIATES |
| Practice Address |
245 Medical Park Dr Marion VA 24354 |
| Practice Telephone | 2763781140 |
| Practice Fax Number | 2763781145 |
| Mailing Telephone | 2763781140 |
| Mailing Fax Number | 2763781145 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-03-29 |
| Authorized Official Name | CARL KILGORE (PRESIDENT) |
| Authorized Official Telephone | 4233023051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ballad Health Medical Associates | Doing Business As Name - Organization |
| BHMA Sleep Medicine Norton | Other Name - Individual/Organization |
| MSMG Sleep Diagnostics Marion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588128755 | Blue Ridge Medical Management Corporation | Family Medicine | 2030 Temple Hill Rd Ste B, Erwin, TN 37650-8721 | 2019-01-22 |
| 1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1255816252 | Blue Ridge Medical Management Corporation | Clinic/Center | 1901 S Shady St Ste A, Mountain City, TN 37683-2021 | 2018-09-26 |
| 1184105272 | Blue Ridge Medical Management Corporation | Ophthalmology | 410 N State of Franklin Rd Ste 130b, Johnson City, TN 37604-6972 | 2018-08-27 |
| 1841770864 | Blue Ridge Medical Management Corporation | Pediatrics | 408 N State of Franklin Rd Ste 31g, Johnson City, TN 37604-6088 | 2018-08-20 |
| 1568958775 | Blue Ridge Medical Management Corporation | Urology | 408 N State of Franklin Rd Ste 31f, Johnson City, TN 37604-6088 | 2018-07-11 |
| 1477055317 | Blue Ridge Medical Management Corporation | Urology | 16000 Johnston Memorial Dr Ste 309, Abingdon, VA 24211-7664 | 2018-03-07 |
| 1669903803 | Blue Ridge Medical Management Corporation | Internal Medicine | 1497 W Elk Ave Ste 22b, Elizabethton, TN 37643-2896 | 2017-03-21 |
| 1245771757 | Blue Ridge Medical Management Corporation | Internal Medicine | 1410 Park Ave Nw, Norton, VA 24273 | 2017-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION | 303 Med Tech Parkway, Johnson City, Tennessee 37604 |
| North Carolina Corporations | Blue Ridge Medical Management Corporation | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Street Address |
245 MEDICAL PARK DR |
| City | MARION |
| State | VA |
| Zip Code | 24354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519377 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2005-06-22 |
| 1447895420 | Emily Grace Jones | Nurse Practitioner | 245 Medical Park Dr, Marion, VA 24354-1100 | 2019-11-13 |
| 1164966909 | Blue Ridge Medical Management Corporation | Internal Medicine | 245 Medical Park Dr, Suite E, Marion, VA 24354-1100 | 2016-12-13 |
| 1093168726 | Heather Danielle Greear | Nurse Practitioner | 245 Medical Park Dr, Marion, VA 24354-1100 | 2016-07-18 |
| 1598141970 | Blue Ridge Medical Management | Internal Medicine | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-08-07 |
| 1285016311 | Stanley Brandon Grover | Emergency Medicine | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-06-25 |
| 1194104687 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-05-29 |
| 1194104976 | Sherry W. Love | Registered Nurse | 245 Medical Park Dr, Suite C, Marion, VA 24354 | 2015-05-26 |
| 1013302900 | Joseph Michael Martin | Emergency Medicine | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-03-30 |
| 1285022095 | Jaimie Leanne Shelton | Physician Assistant | 245 Medical Park Dr, Suite C, Marion, VA 24354-1100 | 2014-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776347 | Sound Sleep LLC | Internal Medicine | 6626 Muir Dr, Haymarket, VA 20169-2742 | 2020-10-06 |
| 1528691839 | Loudoun Medical Group . P.c | Internal Medicine | 5901 Kingstowne Village Pkwy Ste 101, Alexandria, VA 22315-5881 | 2020-02-14 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1245771757 | Blue Ridge Medical Management Corporation | Internal Medicine | 1410 Park Ave Nw, Norton, VA 24273 | 2017-03-16 |
| 1295135523 | Blue Ridge Medical Management Corp | Internal Medicine | 320 Valley St Ne, Abingdon, VA 24210-2912 | 2014-08-22 |
| 1821409590 | Loudoun Medical Group PC | Internal Medicine | 3687 Fettler Park Dr, Dumfries, VA 22025-2049 | 2014-05-15 |
| 1134530900 | Loudoun Medical Group PC | Internal Medicine | 4897 Prince William Pkwy, Suite C 102, Woodbridge, VA 22192-5432 | 2014-05-15 |
| 1356779599 | Comprehensive Sleep Care Center Inc | Internal Medicine | 4897 Prince William Pkwy Ste 102, Woodbridge, VA 22192-5433 | 2013-10-25 |
| 1366708786 | Jessica Amy Riggs | Internal Medicine | 2901 Telestar Ct Ste 300, Falls Church, VA 22042-1263 | 2012-04-10 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.