NPIMap

Organization Active NPI

Centra Medical Group, LLC

Doing business as CMG Developmental Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Lynchburg, VA
National Provider Identifier
1710780960
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
CENTRA MEDICAL GROUP, LLC
Doing business as
CMG Developmental Pediatrics
Practice address
693 Leesville Rd
Lynchburg, VA 24502-2828
Phone
(434) 200-3047
NPI assigned
Mar 31, 2025
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRA MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sonya R Turner
Title
Sr. Director Rev Cycle
Phone
(434) 200-6942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X NU Primary

Addresses

Primary practice location

693 Leesville Rd
Lynchburg, VA 24502-2828

Mailing address

693 Leesville Rd
Lynchburg, VA 24502-2828
Phone (434) 200-3047

Other names 1

  • CMG Developmental Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centra Medical Group LLC106 organizations share this tax ID, including this one
Part of
Centra Medical Group LLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1710780960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 LEESVILLE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022828",
            "telephone_number": "434-200-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 LEESVILLE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022828",
            "telephone_number": "434-200-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRA MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRA MEDICAL GROUP, LLC",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SR. DIRECTOR REV CYCLE",
        "authorized_official_telephone_number": "434-200-6942"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMG Developmental Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.