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CENTRA MEDICAL GROUP BEDFORD MEDICAL
NPI 1184045254
Family Medicine in Bedford, VA

Active since December 17, 2013CLIA 49D2059998 · Waiver
171 W MAIN ST, BEDFORD, VA 24523(540) 586-7273 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centra Medical Group Bedford Medical NPPES

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

CENTRA MEDICAL GROUP BEDFORD MEDICAL (NPI 1184045254) is a healthcare organization registered as a family medicine in Bedford, Virginia and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Lewis Addison, Sr Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184045254
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRA MEDICAL GROUP, LLC
Location Address171 W MAIN STBedford, VA 24523-1950
Mailing Address2010 Atherholt RdLynchburg, VA 24501-1106
Phone(540) 586-7273
Organization SubpartYes
Authorized OfficialLewis AddisonSr Vp, Cfo · (434) 200-5047
Enumeration DateDecember 17, 2013
Last NPPES UpdateJanuary 30, 2014
✔ NPI 1184045254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
171 W MAIN ST, Bedford, VA 24523
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Other Names 1

Doing Business AsCentra Medical Group Bedford Medical

Other Identifiers 2

Medicare PINC09704
Medicare PINDE2814

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2059998

Centra Medical Group- Bedford · Bedford, VA
Active · expires Oct 15, 2027
CLIA Number49D2059998
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorDarlene J. Bianchino-Nigro
Laboratory Phone(540) 586-7273
Laboratory LocationCentra Medical Group- Bedford1613 Oakwood Street - Suite 201, Bedford, VA 24523
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. KARA L MATALA D.O.
Family Medicine
171 W MAIN ST
BEDFORD, VA 24523
Bedford County (540) 586-7273
JOSIE FREEMAN LNP
Nurse Practitioner (Adult Health)
171 W MAIN ST
BEDFORD, VA 24523
Bedford County (540) 586-7273
BEDFORD MEDICAL, INC.
Family Medicine
171 W MAIN ST
BEDFORD, VA 24523
Bedford County (540) 586-7273
PEGGY P IRESON FNP
Nurse Practitioner (Family)
171 W MAIN ST
BEDFORD, VA 24523
Bedford County (540) 586-7273

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 1184045254. It was assigned to this organization in the NPPES registry on December 17, 2013. The provider is doing business as Centra Medical Group Bedford Medical.

Where is Centra Medical Group, LLC located?

Centra Medical Group, LLC is located at 171 W Main St, Bedford, VA 24523. The listed phone number is (540) 586-7273.

What is Centra Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Centra Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2059998) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centra Medical Group, LLC was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.