CMG SOUTHSIDE PULMONOLOGY
NPI 1336638865
Family Medicine in Farmville, VA

Active since May 10, 2018
800 OAK ST, FARMVILLE, VA 23901(434) 315-2880 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cmg Southside Pulmonology NPPES

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

CMG SOUTHSIDE PULMONOLOGY (NPI 1336638865) is a healthcare organization registered as a family medicine in Farmville, Virginia and active in the NPI registry since May 2018. The organization lists Joshua Larkin, Payer Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1336638865
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRA MEDICAL GROUP. LLC
Location Address800 OAK STFarmville, VA 23901-1199
Mailing Address1937 Thomson DrLynchburg, VA 24501-1008
Organization SubpartYesParent: Centra Medical Group, Llc
Authorized OfficialJoshua LarkinPayer Credentialing Manager · (434) 200-5047
Enumeration DateMay 10, 2018
✔ NPI 1336638865 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.
800 OAK ST, Farmville, VA 23901

Other Names 1

Doing Business AsCmg Southside Pulmonology

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)

Cmg Southside Pulmonology 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 Cmg Southside Pulmonology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 28 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
Nurse Practitioner
NPI 1588904767
800 OAK STREET CENTER FOR GASTROINTESTINAL AND LIVER DISEASE
Farmville, VA 23901
(434) 315-2860
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1407991177
800 OAK ST
Farmville, VA 23901
(434) 315-2880
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1699932517
800 OAK ST
Farmville, VA 23901
(434) 315-2998
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326143389
800 OAK ST
Farmville, VA 23901
(434) 392-8811
✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1710277587
800 OAK ST EMERGENCY DEPT
Farmville, VA 23901
(434) 392-8811
✔ PECOS0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851960926
800 OAK ST
Farmville, VA 23901
(434) 932-8811
✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1023328390
800 OAK ST
Farmville, VA 23901
(443) 439-2881
✔ PECOS0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477829117
800 OAK ST
Farmville, VA 23901
(434) 610-1701
✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1659751295
800 OAK ST
Farmville, VA 23901
(434) 392-8811
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1013356542
800 OAK ST
Farmville, VA 23901
(434) 200-6895
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1700666807
800 OAK ST
Farmville, VA 23901
(434) 392-8811
✔ PECOS0.1 mi
Emergency Medicine
NPI 1861070591
800 OAK ST
Farmville, VA 23901
(434) 392-8811
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1285292664
800 OAK ST
Farmville, VA 23901
(434) 392-8811
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1023862547
800 OAK ST
Farmville, VA 23901
(434) 315-2880
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1538662390
800 OAK ST
Farmville, VA 23901
(434) 315-2401
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1609941582
800 OAK ST
Farmville, VA 23901
(434) 315-2401
✔ PECOS0.1 mi
Family Practice
NPI 1831404524
935 S MAIN ST
Farmville, VA 23901
(434) 315-5340
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1811397730
935 S MAIN ST
Farmville, VA 23901
(434) 315-5340
✔ PECOS✔ Accepts Medicare0.9 mi
Pediatric Medicine
NPI 1912643685
935 S MAIN ST
Farmville, VA 23901
(434) 315-5340
✔ PECOS0.9 mi
Family Practice
NPI 1730167099
935 S MAIN ST
Farmville, VA 23901
(434) 315-5340
✔ PECOS✔ Accepts Medicare0.9 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 Medical Group. LLC's NPI number?

The NPI number for Centra Medical Group. LLC is 1336638865. It was assigned to this organization in the NPPES registry on May 10, 2018. The provider is doing business as Cmg Southside Pulmonology.

Where is Centra Medical Group. LLC located?

Centra Medical Group. LLC is located at 800 Oak St, Farmville, VA 23901. The listed phone number is (434) 315-2880.

What is Centra Medical Group. LLC's specialty?

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

Is Centra Medical Group. LLC enrolled in Medicare?

Yes. Centra Medical Group. LLC is registered in the Medicare PECOS enrollment system.

When is Centra Medical Group. 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 Medical Group. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 755 clinicians in 49 Medicare specialties reassign their Medicare billing to Centra Medical Group. 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, 1 practice at this address and 28 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 Medical Group. LLC was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.