NPIMap

Centra Medical Group, LLC

Organization Active NPI Family Medicine Physician · Lynchburg, VA

NPI 1548750052 · NPPES record last updated May 10, 2018

Key facts

NPI
1548750052
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CENTRA MEDICAL GROUP, LLC
Practice address
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone
(434) 200-2925
NPI assigned
May 10, 2018
Organization subpart
Yes
Parent organization (as reported)
CENTRA MEDICAL GROUP, LLC

Authorized official

Name
Joshua Larkin
Title
Payer Credentialing Manager
Phone
(434) 200-5047

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Centra Health Professional Services (106 organizations share this tax ID)
Part of
Centra Health Professional Services

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1901 Tate Springs Rd
Lynchburg, VA 24501-1109

Mailing address

1937 Thomson Dr
Lynchburg, VA 24501-1008

Other names

  • CMG Critical Care Doing business as

Other providers in Lynchburg, VA

All providers in Lynchburg, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.