CENTRA MEDICAL GROUP, LLC
NPI 1649228966
Family Medicine in Lynchburg, VA

Active since May 05, 2006
3300 RIVERMONT AVE, LYNCHBURG, VA 24503(434) 200-3656 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Centra Medical Group, Llc NPPES

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

CENTRA MEDICAL GROUP, LLC (NPI 1649228966) is a healthcare organization registered as a family medicine in Lynchburg, Virginia and active in the NPI registry since May 2006. The organization lists Lewis Addison, Sr Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649228966
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRA MEDICAL GROUP, LLC
Location Address3300 RIVERMONT AVELynchburg, VA 24503-2030
Mailing Address2010 Atherholt RdLynchburg, VA 24501-1106
Organization SubpartNo
Authorized OfficialLewis AddisonSr Vp, Cfo · (434) 200-3656
Enumeration DateMay 5, 2006
Last NPPES UpdateSeptember 15, 2014
✔ NPI 1649228966 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.
3300 RIVERMONT AVE, Lynchburg, VA 24503

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, Llc 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

846

Medicare enrollment records show 846 clinicians reassign Medicare billing to Centra Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 39 practice at this address and 401 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner144
Diagnostic Radiology111
Emergency Medicine67
Certified Registered Nurse Anesthetist (CRNA)60
Hospitalist56
Family Practice45
Neurology42
Anesthesiology39
41 other specialties282

Nearest to this location (20)

See all 846
Psychiatry
NPI 1083908958
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5999
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1871592790
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5999
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1669473567
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5999
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1225039316
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5999
✔ PECOSSame address
Psychiatry
NPI 1699775593
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5999
✔ PECOSSame address
Nurse Practitioner
NPI 1962720037
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5621
✔ PECOSSame address
Clinical Psychologist
NPI 1568463230
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5999
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1518922806
3300 RIVERMONT AVE VIRGINIA BAPTIST HOSPITAL
Lynchburg, VA 24503
(434) 947-5611
✔ PECOSSame address
Occupational Therapist in Private Practice
NPI 1649566175
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-4668
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265620850
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-4555
✔ PECOSSame address
Nurse Practitioner
NPI 1952976664
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-4555
✔ PECOSSame address
Clinical Social Worker
NPI 1043989825
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5999
✔ PECOSSame address
Diagnostic Radiology
NPI 1497955348
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-4072
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1386147619
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-6039
✔ PECOSSame address
Mental Health Counselor
NPI 1568209120
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-4637
✔ PECOSSame address
Clinical Social Worker
NPI 1104909985
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5999
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1710331509
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-4000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1730730664
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-5999
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1972725265
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-4072
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1891268199
3300 RIVERMONT AVE
Lynchburg, VA 24503
(434) 200-3000
✔ Accepts MedicareSame address
See all 846 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 1649228966. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Centra Medical Group, LLC located?

Centra Medical Group, LLC is located at 3300 Rivermont Ave, Lynchburg, VA 24503. The listed phone number is (434) 200-3656.

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), 846 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), Diagnostic Radiology (111) and Emergency Medicine (67). Of these, 39 practice at this address and 401 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 September 15, 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.