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CENTRA MEDICAL GROUP, LLC
NPI 1144880782
Surgery - Vascular Surgery in Lynchburg, VA

Active since June 17, 2019
2410 ATHERHOLT RD, LYNCHBURG, VA 24501(434) 200-5047 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centra Medical Group, Llc NPPES

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

CENTRA MEDICAL GROUP, LLC (NPI 1144880782), doing business as Cmg Vascular Surgery, is a healthcare organization registered as a vascular surgery in Lynchburg, Virginia and active in the NPI registry since June 2019. The organization lists Joshua Larkin, Payer Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1144880782
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCENTRA MEDICAL GROUP, LLC
Location Address2410 ATHERHOLT RDLynchburg, VA 24501-2148
Mailing Address1937 Thomson DrLynchburg, VA 24501-1008
Phone(434) 200-5047
Organization SubpartYes
Authorized OfficialJoshua LarkinPayer Credentialing Manager · (434) 200-5047
Enumeration DateJune 17, 2019
✔ NPI 1144880782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2410 ATHERHOLT RD, Lynchburg, VA 24501
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Other Names 1

Doing Business AsCmg Vascular Surgery

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIC JORDAN MORAN MD
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252
DR. EVAN D. OWNBY MD
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-2712
VIRGINIA LEIGH BLEVINS FNP
Nurse Practitioner (Family)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252
JOHN R HAAS MD
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252
DR. MICHAEL COOK MD
Family Medicine
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-1800
CARL MOORE MD
Internal Medicine (Interventional Cardiology)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252
BRIAN J SCHIETINGER MD
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252
BROOKE LYNN MATTOX
Physician Assistant (Medical)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252

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 Medical Group, LLC's NPI number?

The NPI number for Centra Medical Group, LLC is 1144880782. It was assigned to this organization in the NPPES registry on June 17, 2019. The provider is doing business as CMG Vascular Surgery.

Where is Centra Medical Group, LLC located?

Centra Medical Group, LLC is located at 2410 Atherholt Rd, Lynchburg, VA 24501. The listed phone number is (434) 200-5047.

What is Centra Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Centra Medical Group, LLC was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.