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LYNCHBURG INTERNAL MEDICINE A CENTRA HEALTH AFFILIATE
NPI 1104093822
Internal Medicine in Lynchburg, VA

Active since May 12, 2008
1901 THOMSON DR, LYNCHBURG, VA 24501(434) 200-3908 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lynchburg Internal Medicine A Centra Health Affiliate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNCHBURG INTERNAL MEDICINE A CENTRA HEALTH AFFILIATE (NPI 1104093822) is a healthcare organization registered as an internal medicine in Lynchburg, Virginia and active in the NPI registry since May 2008. The organization lists Tammy Tweedy, Director, as its authorized official.

NPPES Registry Identity

NPI1104093822
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTRA HEALTH PROFESSIONAL SERVICES LLC
Location Address1901 THOMSON DRLynchburg, VA 24501-1008
Mailing Address1204 Fenwick DrLynchburg, VA 24502-2112
Phone(434) 200-3908
Organization SubpartYes
Authorized OfficialTammy TweedyDirector · (434) 200-5047
Enumeration DateMay 12, 2008
✔ NPI 1104093822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1901 THOMSON DR, Lynchburg, VA 24501
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Other Names 1

Doing Business AsLynchburg Internal Medicine A Centra Health Affiliate

Other Identifiers 1

Medicare PINC09704

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynchburg Internal Medicine A Centra Health Affiliate is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20051230000147Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

755

Medicare enrollment records show 755 clinicians reassign Medicare billing to Lynchburg Internal Medicine A Centra Health Affiliate, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 398 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner144
Emergency Medicine67
Certified Registered Nurse Anesthetist (CRNA)60
Hospitalist56
Diagnostic Radiology47
Family Practice45
Anesthesiology39
Psychiatry34
41 other specialties263

Nearest to this location (20)

See all 755
James Cure, M.D.
Internal Medicine
NPI 1003815788
1901 THOMSON DR
Lynchburg, VA 24501
(434) 947-3908
✔ PECOS✔ Accepts MedicareSame address
William Blackman, M.D.
Internal Medicine
NPI 1528067105
1901 THOMSON DR
Lynchburg, VA 24501
(434) 947-3908
✔ PECOS✔ Accepts MedicareSame address
Peter Gibbs, DO
Family Practice
NPI 1619105525
1901 THOMSON DR
Lynchburg, VA 24501
(434) 200-3908
✔ PECOS✔ Accepts MedicareSame address
Michael Kalafian, M.D.
Internal Medicine
NPI 1639178312
1901 THOMSON DR
Lynchburg, VA 24501
(434) 947-3908
✔ PECOS✔ Accepts MedicareSame address
Shawn Hayes, M.D.
Internal Medicine
NPI 1871518076
1901 THOMSON DRIVE LOWER LEVEL
Lynchburg, VA 24501
(434) 947-5959
✔ PECOS✔ Accepts MedicareSame address
Robert Bass, M.D.
General Surgery
NPI 1134113210
1911 THOMSON DR
Lynchburg, VA 24501
(434) 947-3901
✔ PECOS✔ Accepts MedicareSame address
Peter Ploch, MD
General Surgery
NPI 1609893478
1911 THOMSON DR
Lynchburg, VA 24501
(434) 947-3901
✔ PECOS✔ Accepts MedicareSame address
Joshua Alley, M.D.
General Surgery
NPI 1982816427
1906 THOMSON DR
Lynchburg, VA 24501
(434) 200-3933
✔ PECOS✔ Accepts MedicareSame address
Gabrielle Crawford, FNP
Nurse Practitioner
NPI 1447631189
1906 THOMSON DR
Lynchburg, VA 24501
(434) 200-3933
✔ PECOS✔ Accepts MedicareSame address
John Guglielmetti, MD
General Surgery
NPI 1780630988
1906 THOMSON DR
Lynchburg, VA 24501
(434) 947-3933
✔ PECOS✔ Accepts MedicareSame address
William Kittrell, MD
General Surgery
NPI 1306890207
1906 THOMSON DR CENTRAL VIRGINIA SURGERY
Lynchburg, VA 24501
(434) 947-3933
✔ PECOS✔ Accepts MedicareSame address
Clinton Beverly, M.D.
General Surgery
NPI 1275604647
1906 THOMSON DRIVE CENTRAL VIRGINIA SURGERY
Lynchburg, VA 24501
(434) 947-3933
✔ PECOS✔ Accepts MedicareSame address
Michael Lilly, MD
General Surgery
NPI 1487653978
1906 THOMSON DR
Lynchburg, VA 24501
(434) 200-3933
✔ PECOS✔ Accepts MedicareSame address
Caesar Gonzales, M.D.
Anesthesiology
NPI 1306043393
1922 THOMSON DRIVE SUITE D
Lynchburg, VA 24501
(434) 845-7392
✔ PECOS✔ Accepts Medicare0.1 mi
Richard Miller, MD
Internal Medicine
NPI 1720062938
1922 THOMSON DR STE B
Lynchburg, VA 24501
(434) 846-4444
✔ PECOS✔ Accepts Medicare0.1 mi
Winifred Agard, MD
Emergency Medicine
NPI 1902843725
1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-1529
✔ PECOS0.1 mi
Eric Altman, DO
Hospitalist
NPI 1376167411
1901 TATE SPRINGS ROAD
Lynchburg, VA 24501
(434) 200-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Abeer Ashfaq, MBBS
Nuclear Medicine
NPI 1598322547
1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-5252
✔ PECOS0.1 mi
Vira Ayzenbart, MD
Interventional Cardiology
NPI 1598225484
1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Margaret Bauer, DNP, PMHNP-BC
Nurse Practitioner
NPI 1568158392
1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-3000
✔ PECOS✔ Accepts Medicare0.1 mi
See all 755 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centra Health Professional Services LLC's NPI number?

The NPI number for Centra Health Professional Services LLC is 1104093822. It was assigned to this organization in the NPPES registry on May 12, 2008. The provider is doing business as Lynchburg Internal Medicine A Centra Health Affiliate.

Where is Centra Health Professional Services LLC located?

Centra Health Professional Services LLC is located at 1901 Thomson Dr, Lynchburg, VA 24501. The listed phone number is (434) 200-3908.

What is Centra Health Professional Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Centra Health Professional Services LLC enrolled in Medicare?

Yes. Centra Health Professional Services LLC is registered in the Medicare PECOS enrollment system.

When is Centra Health Professional Services LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Centra Health Professional Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 755 clinicians in 49 Medicare specialties reassign their Medicare billing to Centra Health Professional Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (144), Emergency Medicine (67) and Certified Registered Nurse Anesthetist (CRNA) (60). Of these, 7 practice at this address and 398 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Centra Health Professional Services LLC was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.