CENTRA MEDICAL GROUP, LLC
NPI 1346833290
Pediatrics in Farmville, VA

Q: What is Centra Medical Group, LLC's NPI number?

The NPI number for Centra Medical Group, LLC is 1346833290. It was assigned to this organization in the NPPES registry on February 11, 2021. The provider is doing business as CMG Southside Pediatric Center.

Q: What is Centra Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since February 11, 2021

935 S MAIN ST, FARMVILLE, VA 23901(434) 315-5377(434) 315-5923 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Centra Medical Group, Llc NPPES

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

CENTRA MEDICAL GROUP, LLC (NPI 1346833290), doing business as Cmg Southside Pediatric Center, is a healthcare organization registered as a pediatrics in Farmville, Virginia and active in the NPI registry since February 2021. The organization lists Sonya R T Davis, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1346833290

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCENTRA MEDICAL GROUP, LLC

Location Address935 S MAIN STFarmville, VA 23901-2211

Mailing AddressPo Box 829829Philadelphia, PA 19182-9829

Phone(434) 315-5377

Fax(434) 315-5923

Organization SubpartYes

Authorized OfficialSonya R T DavisDirector Revenue Cycle · (434) 200-6942

Enumeration DateFebruary 11, 2021

NPPES CertifiedFebruary 11, 2021

✔ NPI 1346833290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

935 S MAIN ST, Farmville, VA 23901

Open in Google Maps ↗

Other Names 1

Doing Business AsCmg Southside Pediatric Center

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.

MS. HEATHER MARGARET BAILEY MSN, FNP-C

Nurse Practitioner (Family)