CENTRA MEDICAL GROUP SOUTHSIDE, LLC
NPI 1841479565
Family Medicine in Farmville, VA

NPI Status: Active since October 30, 2007

Contact Information

800 OAK ST
FARMVILLE, VA
ZIP 23901
Phone: (434) 200-3656

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  • Organization
  • Family Medicine

About CENTRA MEDICAL GROUP SOUTHSIDE, LLC

This page provides the complete NPI Profile along with additional information for Centra Medical Group Southside, Llc, a primary care provider established in Farmville, Virginia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1841479565 assigned on October 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Centra Medical Group Southside, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is William Bass (Cfo)

NPI
1841479565
Provider Name
CENTRA MEDICAL GROUP SOUTHSIDE, LLC
Entity Type
Organization
Location Address
800 OAK ST FARMVILLE, VA 23901
Location Phone
(434) 200-3656
Mailing Address
2010 ATHERHOLT RD LYNCHBURG, VA 24501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2007
Last Update Date
08-07-2014
Code Navigator

A primary care provider (PCP) like Centra Medical Group Southside, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
32084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
4208600000XAllopathic & Osteopathic Physicians

Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM BASS

Authorized Official Title
CFO
Authorized Official Phone
(434) 392-8811

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
61459604OTHER (01)VABLACK LUNG/FECA (1418 6TH ST)
345606OTHER (01)VAANTHEM BCBS (412 NAMOZINE STREET)
61459602OTHER (01)VABLACK LUNG/FECA (412 NAMOZINE STR)
61459600OTHER (01)VABLACK LUNG/FECA (STE 3105)
1841479565MEDICAID (05)VA 
345604OTHER (01)VAANTHEM BCBS (800 OAK STREET)
61459601OTHER (01)VABLACK LUNG/FECA (312 KING ST)
345307OTHER (01)VAANTHEM, BCBS (1418 6TH STREET)
345608OTHER (01)VAANTHEM BCBS (312 KING STREET)
9978134OTHER (01)VAAETNA
61459603OTHER (01)VABLACK LUNG/FECA (1705 3RD ST)
DN1489MEDICARE PIN (08)VA 
C10459MEDICARE PIN (08)VA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1841479565, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 8 + 1 + 8 + 7 + 1 + 8 + 5 + 1 + 2 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1841479565.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
800 OAK ST
FARMVILLE, VA 23901
Urology
800 OAK ST
FARMVILLE, VA 23901
Clinical Nurse Specialist (Community Health/Public Health)
800 OAK ST
FARMVILLE, VA 23901
Obstetrics & Gynecology (Critical Care Medicine)
800 OAK ST
FARMVILLE, VA 23901
Emergency Medicine
800 OAK ST
FARMVILLE, VA 23901
Emergency Medicine
800 OAK ST
FARMVILLE, VA 23901
Neuromusculoskeletal Medicine, Sports Medicine
800 OAK ST
FARMVILLE, VA 23901
Family Medicine
800 OAK ST
FARMVILLE, VA 23901
Obstetrics & Gynecology
800 OAK ST
FARMVILLE, VA 23901
Nurse Anesthetist, Certified Registered
800 OAK ST, ATTEN: JULIA SIMON
FARMVILLE, VA 23901
Nurse Anesthetist, Certified Registered
800 OAK ST
FARMVILLE, VA 23901
Nurse Anesthetist, Certified Registered
800 OAK ST
FARMVILLE, VA 23901
Nurse Anesthetist, Certified Registered
800 OAK ST
FARMVILLE, VA 23901
Nurse Anesthetist, Certified Registered
800 OAK ST
FARMVILLE, VA 23901
Urology
800 OAK ST
FARMVILLE, VA 23901
Hospitalist
800 OAK ST
FARMVILLE, VA 23901
Specialist
800 OAK ST, SUITE 2-105
FARMVILLE, VA 23901
Physical Therapist
800 OAK ST
FARMVILLE, VA 23901
Neurological Surgery
800 OAK ST
FARMVILLE, VA 23901
Nurse Anesthetist, Certified Registered
800 OAK ST
FARMVILLE, VA 23901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841479565, enumerated as an "organization" on October 30, 2007.

The provider is located at 800 OAK ST FARMVILLE, VA 23901 and the phone number is (434) 200-3656.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield, Anthem. Please consult your insurance carrier or call the provider to verify.