CENTRA MEDICAL GROUP SURGICAL SPECIALISTS
NPI 1386825040
Surgery - Vascular Surgery in Lynchburg, VA

Active since November 21, 2007
1911 THOMSON DR, LYNCHBURG, VA 24501(434) 200-3901 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Centra Medical Group Surgical Specialists NPPES

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

CENTRA MEDICAL GROUP SURGICAL SPECIALISTS (NPI 1386825040) is a healthcare organization registered as a vascular surgery in Lynchburg, Virginia and active in the NPI registry since November 2007. The organization lists Lewis Addison, Director, as its authorized official.

NPPES Registry Identity

NPI1386825040
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCENTRA MEDICAL GROUP, LLC
Location Address1911 THOMSON DRLynchburg, VA 24501-1008
Mailing Address2010 Atherholt RdLynchburg, VA 24501-1106
Organization SubpartYes
Authorized OfficialLewis AddisonDirector · (434) 200-5047
Enumeration DateNovember 21, 2007
Last NPPES UpdateOctober 16, 2014
✔ NPI 1386825040 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.
1911 THOMSON DR, Lynchburg, VA 24501

Other Names 1

Doing Business AsCentra Medical Group Surgical Specialists

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)

Centra Medical Group Surgical Specialists 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 Centra Medical Group Surgical Specialists, 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
General Surgery
NPI 1134113210
1911 THOMSON DR
Lynchburg, VA 24501
(434) 947-3901
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1609893478
1911 THOMSON DR
Lynchburg, VA 24501
(434) 947-3901
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1003815788
1901 THOMSON DR
Lynchburg, VA 24501
(434) 947-3908
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1871518076
1901 THOMSON DRIVE LOWER LEVEL
Lynchburg, VA 24501
(434) 947-5959
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1528067105
1901 THOMSON DR
Lynchburg, VA 24501
(434) 947-3908
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1619105525
1901 THOMSON DR
Lynchburg, VA 24501
(434) 200-3908
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1639178312
1901 THOMSON DR
Lynchburg, VA 24501
(434) 947-3908
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1982816427
1906 THOMSON DR
Lynchburg, VA 24501
(434) 200-3933
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1447631189
1906 THOMSON DR
Lynchburg, VA 24501
(434) 200-3933
✔ PECOS✔ Accepts Medicare0.1 mi
Anesthesiology
NPI 1306043393
1922 THOMSON DRIVE SUITE D
Lynchburg, VA 24501
(434) 845-7392
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1720062938
1922 THOMSON DR STE B
Lynchburg, VA 24501
(434) 846-4444
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1972520476
1933 THOMSON DR
Lynchburg, VA 24501
(434) 947-3928
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1407625601
1933 THOMSON DR
Lynchburg, VA 24501
(434) 616-6762
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1902843725
1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-1529
✔ PECOS0.2 mi
Hospitalist
NPI 1376167411
1901 TATE SPRINGS ROAD
Lynchburg, VA 24501
(434) 200-3000
✔ PECOS✔ Accepts Medicare0.2 mi
Nuclear Medicine
NPI 1598322547
1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-5252
✔ PECOS0.2 mi
Interventional Cardiology
NPI 1598225484
1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-3000
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386216000
1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-3015
✔ Accepts Medicare0.2 mi
Psychiatry
NPI 1821382730
1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-3000
✔ PECOS✔ Accepts Medicare0.2 mi
Critical Care (Intensivists)
NPI 1568858314
1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-2925
✔ PECOS✔ Accepts Medicare0.2 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 1386825040. It was assigned to this organization in the NPPES registry on November 21, 2007. The provider is doing business as Centra Medical Group Surgical Specialists.

Where is Centra Medical Group, LLC located?

Centra Medical Group, LLC is located at 1911 Thomson Dr, Lynchburg, VA 24501. The listed phone number is (434) 200-3901.

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.

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, 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 Medical Group, LLC was last updated on October 16, 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.