BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1205253770
Internal Medicine - Cardiovascular Disease in Erwin, TN

NPI Status: Active since March 24, 2014

Contact Information

800 S MOHAWK DR
SUITE C
ERWIN, TN
ZIP 37650
Phone: (423) 979-6000
Fax: (423) 979-6011

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About BALLAD HEALTH MEDICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Ballad Health Medical Associates, an internist established in Erwin, Tennessee operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1205253770 assigned on March 2014. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Ballad Health Medical Associates. The authorized official of this NPI record is Carl Steven Kilgore (President / Ceo)

NPI
1205253770
Provider Legal Name
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Other Organization Name
BALLAD HEALTH MEDICAL ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
800 S MOHAWK DR SUITE C ERWIN, TN 37650
Location Phone
(423) 979-6000
Location Fax
(423) 979-6011
Mailing Address
800 S MOHAWK DR SUITE C ERWIN, TN 37650
Mailing Phone
(423) 979-6000
Mailing Fax
(423) 979-6011
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2014
Last Update Date
03-29-2019
Code Navigator

An internist like Ballad Health Medical Associates is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 2030 Temple Hill Rd Ste A
    Erwin, TN 37650
    (423) 735-4185

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARL STEVEN KILGORE

Authorized Official Title
PRESIDENT / CEO
Authorized Official Phone
(423) 302-3051

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CA5744OTHER (01)TNRAILROAD MEDICARE
1205253770MEDICAID (05)VA 
Q005538MEDICAID (05)TN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205253770
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205456714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 4 + 5 + 6 + 7 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1205253770 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265768188ASSOCIATED THERAPY SERVICES OF UNICOI COUNTY
Organization
Clinic/Center (Physical Therapy)800 S MOHAWK DR
ERWIN, TN 37650
(423) 743-1245
1447586201 CHAD EVERT CAPPS P.T.
Individual
Physical Therapist800 S MOHAWK DR SUITE D
ERWIN, TN 37650
(423) 743-1245
1487911871MR. CHRISTOPHER PHILLIPS PT
Individual
Physical Therapist800 S MOHAWK DR SUITE D
ERWIN, TN 37650
(423) 743-1245
1902163397MRS. CANDACE SIMERLY PT
Individual
Physical Therapist800 S MOHAWK DR SUITE D
ERWIN, TN 37650
(423) 743-1245
1316205487MR. MARK PETERSON PT
Individual
Physical Therapist800 S MOHAWK DR SUITE D
ERWIN, TN 37650
(423) 743-1245
1932169562 ROBERT W LAWSON MD
Individual
Emergency Medicine800 S MOHAWK DR SUITE E
ERWIN, TN 37650
(423) 330-6177
1609158120URGENT CARE OF ERWIN, LLC
Organization
Clinic/Center (Urgent Care)800 S MOHAWK DR SUITE E
ERWIN, TN 37650
(423) 735-0500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205253770, enumerated in the NPI registry as an "organization" on March 24, 2014

The provider is located at 800 S Mohawk Dr Suite C Erwin, Tn 37650 and the phone number is (423) 979-6000

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 24, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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