CENTRA MEDICAL GROUP AMHERST
NPI 1609278357
Family Medicine in Amherst, VA

Active since September 24, 2014CLIA 49D0667592 · Certificate of Compliance
124 AMBRIAR COURT, AMHERST, VA 24521(434) 946-9565 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centra Medical Group Amherst NPPES

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

CENTRA MEDICAL GROUP AMHERST (NPI 1609278357) is a healthcare organization registered as a family medicine in Amherst, Virginia and active in the NPI registry since September 2014. The organization holds a CLIA Certificate of Compliance certificate valid through March 8, 2027 and lists Lewis Addison, Sr, Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609278357
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRA MEDICAL GROUP, LLC
Location Address124 AMBRIAR COURTAmherst, VA 24521-4751
Mailing Address2010 Atherholt RdLynchburg, VA 24501-1106
Organization SubpartYes
Authorized OfficialLewis AddisonSr, Vp, Cfo · (434) 200-5047
Enumeration DateSeptember 24, 2014
Last NPPES UpdateSeptember 26, 2014
NPI 1609278357 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.
124 AMBRIAR COURT, Amherst, VA 24521

Other Names 1

Doing Business AsCentra Medical Group Amherst

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

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 Compliance 49D0667592

Centra Medical Group - Amherst · Amherst, VA
Active · expires Mar 8, 2027
CLIA Number49D0667592
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorShawn Hayes
Laboratory Phone(434) 946-9565
Laboratory LocationCentra Medical Group - Amherst115 Ambriar Court, Amherst, VA 24521
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
124 AMBRIAR COURT
AMHERST, VA 24521

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 1609278357. It was assigned to this organization in the NPPES registry on September 24, 2014. The provider is doing business as Centra Medical Group Amherst.

Where is Centra Medical Group, LLC located?

Centra Medical Group, LLC is located at 124 Ambriar Court, Amherst, VA 24521. The listed phone number is (434) 946-9565.

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 Compliance (number 49D0667592) is associated with this NPI, valid through March 8, 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 September 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.