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CENTRA DANVILLE MEDICAL CENTER
NPI 1790552172
Clinic/Center - Rural Health in Danville, VA

Active since December 06, 2023CLIA 49D0704407 · Certificate of Compliance
414 PARK AVE, DANVILLE, VA 24541(434) 857-3600(434) 857-3601 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centra Danville Medical Center NPPES

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

CENTRA DANVILLE MEDICAL CENTER (NPI 1790552172) is a healthcare organization registered as a rural health in Danville, Virginia and active in the NPI registry since December 2023. The organization holds a CLIA Certificate of Compliance certificate valid through March 8, 2027 and lists Sonya R Turner, Sr. Director Rev Cycle, as its authorized official.

NPPES Registry Identity

NPI1790552172
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCENTRA MEDICAL GROUP, LLC
Location Address414 PARK AVEDanville, VA 24541-4630
Mailing AddressPo Box 829829Philadelphia, PA 19182-9829
Phone(434) 857-3600
Fax(434) 857-3601
Organization SubpartNo
Authorized OfficialSonya R TurnerSr. Director Rev Cycle · (434) 200-6942
Enumeration DateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
✔ NPI 1790552172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
414 PARK AVE, Danville, VA 24541
Open in Google Maps ↗

Other Names 1

Doing Business AsCentra Danville Medical Center

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 49D0704407

Centra Danville Medical Center · Danville, VA
Active · expires Mar 8, 2027
CLIA Number49D0704407
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorPradeep K. Pradhan
Laboratory Phone(434) 857-3713
Laboratory LocationCentra Danville Medical Center414 Park Avenue, Danville, VA 24541
CLIA data matches this NPI record on: Address Name
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 6

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

DR. SALMA ZIA KHAN DO
Family Medicine
414 PARK AVE
DANVILLE, VA 24541
Danville City (434) 857-3600
MR. JACOB CODY BEACH MSN,APRN,FNP-C, CEN
Nurse Practitioner
414 PARK AVE
DANVILLE, VA 24541
Danville City (434) 857-3600
DR. PRADEEP K PRADHAN MD
Internal Medicine
414 PARK AVE, STE F
DANVILLE, VA 24541
Danville City (434) 857-3600
REBECCA JEAN EVANS PA-C
Physician Assistant
414 PARK AVE
DANVILLE, VA 24541
Danville City (434) 857-3600
DR. SUSAN SHARMILA DHIVIANATHAN MD
Family Medicine
414 PARK AVE
DANVILLE, VA 24541
Danville City (434) 857-3600
MRS. REBECCA SQUIER NP
Nurse Practitioner (Family)
414 PARK AVE
DANVILLE, VA 24541
Danville City (434) 857-3600

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 1790552172. It was assigned to this organization in the NPPES registry on December 6, 2023. The provider is doing business as Centra Danville Medical Center.

Where is Centra Medical Group, LLC located?

Centra Medical Group, LLC is located at 414 Park Ave, Danville, VA 24541. The listed phone number is (434) 857-3600.

What is Centra Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Centra Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D0704407) 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 December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.