ALTAVISTA MEDICAL CENTER
NPI 1619912441
Family Medicine in Altavista, VA
About Altavista Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALTAVISTA MEDICAL CENTER (NPI 1619912441) is a healthcare organization registered as a family medicine in Altavista, Virginia and active in the NPI registry since June 2006. The organization lists Arthur Leavitt, Vp Physician Practice Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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)
Altavista Medical Center 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.
Clinicians Billing Medicare Through This Organization
755Medicare enrollment records show 755 clinicians reassign Medicare billing to Altavista Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 49
Nearest to this location (20)
See all 755Source: 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 Health Professional Services, LLC's NPI number?
The NPI number for Centra Health Professional Services, LLC is 1619912441. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Altavista Medical Center.
Where is Centra Health Professional Services, LLC located?
Centra Health Professional Services, LLC is located at 1280A Main St, Altavista, VA 24517. The listed phone number is (434) 309-1165.
What is Centra Health Professional Services, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Centra Health Professional Services, LLC enrolled in Medicare?
Yes. Centra Health Professional Services, LLC is registered in the Medicare PECOS enrollment system.
When is Centra Health Professional Services, 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 Health Professional Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 755 clinicians in 49 Medicare specialties reassign their Medicare billing to Centra Health Professional Services, 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, 2 practice at this address and 4 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 Health Professional Services, LLC was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Altavista Medical Center · NPI 1619912441
Family Medicine organization in Altavista, Virginia. Organization record, active in the CMS NPPES registry since June 17, 2006.
## Identity
- **NPI:** 1619912441 (Entity type: Organization)
- **Enumerated:** June 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Centra Health Professional Services, Llc
- **Organization subpart:** Yes (part of Centra Health Professional Services, Llc)
- **Authorized official:** Arthur Leavitt, VP PHYSICIAN PRACTICE MANAGEMENT
## Practice location
- **Address:** 1280A MAIN ST, Altavista, VA 24517-1458
- **Phone:** (434) 309-1165
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 755 clinicians in 49 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (144), Emergency Medicine (67), Certified Registered Nurse Anesthetist (CRNA) (60); 2 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1619912441/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2012
- **Other identifiers:** Medicare PIN C09704
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Source: [NPI Profile](https://npiprofile.com/npi/1619912441) · Data from the CMS NPPES public registry.