CENTRA MEDICAL GROUP, LLC (NPI# 1285931089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285931089 |
| Entity Type | Organization |
| Organization Name | CENTRA MEDICAL GROUP, LLC |
| Other Organization Name | PIEDMONT PRIMECARE-CENTRA MEDICAL GROUP |
| Practice Address |
404 Airport Dr Suite A Danville VA 24540-5196 |
| Mailing Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Practice Telephone | 4347912612 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2012-11-14 |
| Authorized Official Name | LEWIS ADDISON (CFO) |
| Authorized Official Telephone | 4342003656 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA MEDICAL GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Piedmont Primecare-Centra Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682980 | Centra Medical Group, LLC | Family Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-11-06 |
| 1144880782 | Centra Medical Group, LLC | Surgery | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-06-17 |
| 1932685526 | Centra Medical Group, LLC | Anesthesiology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2018-07-17 |
| 1548750052 | Centra Medical Group, LLC | Family Medicine | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2018-05-10 |
| 1376033886 | Centra Medical Group, LLC | Family Medicine | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2018-05-10 |
| 1912434663 | Centra Medical Group, LLC | Family Medicine | 2010 Atherholt Rd, Lynchburg, VA 24501-1106 | 2017-05-12 |
| 1518315902 | Centra Medical Group, LLC | Clinic/Center | 125 Nationwide Drive, Lynchburg, VA 24502-9998 | 2016-05-26 |
| 1649624164 | Centra Medical Group, LLC | Psychologist | 2010 Atherholt Rd, Lynchburg, VA 24501-1106 | 2016-04-21 |
| 1003260522 | Centra Medical Group, LLC | Anesthesiology | 2010 Atherholt Rd, Lynchburg, VA 24501-1106 | 2016-04-21 |
| 1295104347 | Centra Medical Group, LLC | Internal Medicine | 1613 Oakwood St, Suite 201, Bedford, VA 24523-1213 | 2015-09-18 |
| Street Address |
404 AIRPORT DR SUITE A |
| City | DANVILLE |
| State | VA |
| Zip Code | 24540-5196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811135593 | Centra Health Professional Services, LLC | Physical Medicine & Rehabilitation | 404 Airport Dr, Suite C, Danville, VA 24540-5196 | 2009-02-03 |
| 1407246432 | Varsha Jalandhara | Physical Therapist | 404 Airport Dr, Danville, VA 24540-5196 | 2015-01-29 |
| 1467792309 | Emilee Dietz | Physical Therapy Assistant | 404 Airport Dr, Suite C, Danville, VA 24540-5196 | 2013-02-28 |
| 1053683490 | Kristina Skeens Jones | Physical Therapist | 404 Airport Dr, Danville, VA 24540-5196 | 2012-02-01 |
| 1922336312 | Tonya D. Bates | Physical Therapist | 404 Airport Dr, Suite C, Danville, VA 24540-5196 | 2009-11-24 |
| 1952543043 | General Business Concerns, Inc. | Neurological Surgery | 404 Airport Dr, Suite C, Danville, VA 24540-5196 | 2009-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1285256412 | Terri Patrice Alston | In Home Supportive Care | 220 Riverside Drive Suite C, Danville, VA 24540 | 2020-05-11 |
| 1619514312 | Glory Days Support Service, LLC | Counselor | 625 Piney Forest Rd, Suite 302c, Same, Danville, VA 24540 | 2019-12-02 |
| 1376189613 | Camilla Petty | Counselor | 265 Piney Forest Road Suite 302 C, Danville, VA 24540 | 2019-11-21 |
| 1891201513 | Jeffrey Langan | Occupational Therapy Assistant | 625 Piney Forest Rd., Danville, VA 24540 | 2017-12-18 |
| 1952822041 | H and G Transportation, LLC | Non-emergency Medical Transport (VAN) | 661 Arnett Blvd., Suite A, Danville, VA 24540 | 2017-06-29 |
| 1518316769 | Precious Nursing LLC | Home Health | 924 Arnett Bvld., Danville, VA 24540 | 2016-06-08 |
| 1487090841 | Hope Family Services LLC | Social Worker | 620 Piney Forest Road Suite, 304-a, Danville, VA 24540 | 2013-05-13 |
| 1336494764 | Jodi Leigh Davis | Speech-Language Pathologist | Center for Pediatric Therapies, 175 Deer Run Road, Danville, VA 24540 | 2012-07-23 |
| 1154618445 | Said Elfayar | Clinical Medical Laboratory | 140 West Parker Rd, Suite A, Danville, VA 24540 | 2011-07-07 |
| Find all providers in zip 24540 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431648 | Selena Michelle Richert | Family Medicine | 24359 Orange Hill Rd, Danville, OH 43014-9647 | 2019-11-15 |
| 1114309267 | Yi Ding | Family Medicine | 800 Memorial Dr Ste D, Danville, VA 24541-1680 | 2015-06-25 |
| 1285026062 | Kavita Tripathi | Family Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2015-03-03 |
| 1194139519 | Randy Michael Chan | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2014-06-13 |
| 1225476120 | Natalie Alexander | Family Medicine | 201 South Main St., Suite 3200, Danville, VA 24541-2922 | 2013-06-13 |
| 1033472683 | Bayview Family Clinic - Danville | Family Medicine | 3595 N Vermilion St, Danville, IL 61832-1337 | 2012-06-19 |
| 1326322736 | Family Practice Medical Center | Family Medicine | 511 W. Fairchild Street, Danville, IL 61832 | 2011-10-04 |
| 1750566162 | Bashirahmed M Ameji | Family Medicine | 3820 East Main Street, Danville Correctional Center Medical Department, Danville, IL 61834-5796 | 2008-01-03 |
| 1134314602 | Provena Service Corporation | Family Medicine | 405 Sheridan St, Danville, IL 61832-4451 | 2007-09-07 |
| 1376743278 | Michael R Rousse | Family Medicine | 1301 Stannard Mtn Rd, Danville, VT 05828-4417 | 2007-07-19 |
| Find all providers in DANVILLE | ||||
Please comment or provide details below to improve the information on CENTRA MEDICAL GROUP, LLC.
| 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.