CENTRA MEDICAL GROUP, LLC (NPI# 1588081236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588081236 |
| Entity Type | Organization |
| Organization Name | CENTRA MEDICAL GROUP, LLC |
| Other Organization Name | CENTRA MEDICAL GROUP NEUROLOGY |
| Practice Address |
2025 Tate Springs Rd Lynchburg VA 24501-1116 |
| Mailing Address |
2010 Atherholt Rd Lynchburg VA 24501-1106 |
| Practice Telephone | 4342002900 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-28 |
| Authorized Official Name | LEWIS ADDISON (SR VP CFO) |
| Authorized Official Telephone | 4342005047 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA MEDICAL GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centra Medical Group Neurology | 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 |
2025 TATE SPRINGS RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477635647 | Carl R. Hoegerl | Psychiatry & Neurology | 2025 Tate Springs Rd, Lynchburg, VA 24501-1116 | 2006-10-19 |
| 1679135370 | Sidney Earley | Nurse Practitioner | 2025 Tate Springs Rd, Lynchburg, VA 24501-1116 | 2019-07-02 |
| 1619444387 | Elizabeth A Hundt | Nurse Practitioner | 2025 Tate Springs Rd, Lynchburg, VA 24501-1116 | 2018-10-31 |
| 1861981409 | Jennifer L Follett | Nurse Practitioner | 2025 Tate Springs Rd, Lynchburg, VA 24501-1116 | 2018-05-09 |
| 1194234468 | Benjamin Taylor Colston | Physician Assistant | 2025 Tate Springs Rd, Lynchburg, VA 24501-1116 | 2017-09-29 |
| 1457779506 | Rahul Guha | Psychiatry & Neurology | 2025 Tate Springs Rd, Lynchburg, VA 24501-1116 | 2014-04-04 |
| 1356613798 | Jordan Watkins | Physician Assistant | 2025 Tate Springs Rd, Lynchburg, VA 24501-1116 | 2012-02-01 |
| 1861704942 | Virginia Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2025 Tate Springs Rd, Suite A-2, Lynchburg, VA 24501-1116 | 2010-07-06 |
| 1922122605 | Lynchburg Rheumatology Clinic | Specialist | 2025 Tate Springs Rd, Lynchburg, VA 24501-1116 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768772 | George Adams Hurt | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1424 | 2005-05-23 |
| 1710370374 | Ward Stevens Jr. | Neurological Surgery | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2015-03-06 |
| 1801202262 | Cvnl One, PC | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 | 2014-07-07 |
| 1023308368 | Jordan Joseph Synkowski | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 | 2011-04-07 |
| 1730483488 | Centra Health Professional Services,llc | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 | 2011-01-10 |
| 1679747315 | General Business Concerns, Inc. | Neurological Surgery | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2008-04-14 |
| 1043483027 | General Business Concerns, Inc. | Neurological Surgery | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2008-04-10 |
| 1689602534 | General Business Concerns, Inc. | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1424 | 2006-06-29 |
| 1528002060 | Centra Health Professional Services | Neurological Surgery | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2006-06-15 |
| 1790733558 | General Business Concerns, Inc. | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1424 | 2006-05-04 |
| Find all providers in LYNCHBURG | ||||
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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.