CENTRA MEDICAL GROUP, LLC
NPI 1861288656
Clinic/Center - Rural Health in Brookneal, VA

Active since April 17, 2025CLIA 49D0233092 · Microscopy
104 CAROLINA AVE, BROOKNEAL, VA 24528(434) 376-2325 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 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 1861288656), doing business as Centra Medical Group Brookneal, is a healthcare organization registered as a rural health in Brookneal, Virginia and active in the NPI registry since April 2025. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Sonya R Turner, Sr. Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1861288656
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCENTRA MEDICAL GROUP, LLC
Location Address104 CAROLINA AVEBrookneal, VA 24528-2643
Mailing AddressPo Box 749379Atlanta, GA 30374-9379
Organization SubpartYes
Authorized OfficialSonya R TurnerSr. Director Revenue Cycle · (434) 200-6942
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
NPI 1861288656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
104 CAROLINA AVE, Brookneal, VA 24528

Other Names 1

Doing Business AsCentra Medical Group Brookneal

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 for Provider-Performed Microscopy Procedures (PPMP) 49D0233092

Centra Medical Group Brookneal · Brookneal, VA
Active · expires Aug 31, 2026
CLIA Number49D0233092
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorVincent J. Waldron
Laboratory Phone(434) 376-2325
Laboratory LocationCentra Medical Group Brookneal104 Carolina Avenue, Brookneal, VA 24528
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
104 CAROLINA AVE
BROOKNEAL, VA 24528
Family Medicine
104 CAROLINA AVE
BROOKNEAL, VA 24528
Nurse Practitioner (Family)
104 CAROLINA AVE
BROOKNEAL, VA 24528
Nurse Practitioner
104 CAROLINA AVE
BROOKNEAL, VA 24528
Family Medicine
104 CAROLINA AVE
BROOKNEAL, VA 24528
Family Medicine
104 CAROLINA AVE
BROOKNEAL, VA 24528
Family Medicine
104 CAROLINA AVE
BROOKNEAL, VA 24528
Family Medicine
104 CAROLINA AVE
BROOKNEAL, VA 24528

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 1861288656. It was assigned to this organization in the NPPES registry on April 17, 2025. The provider is doing business as Centra Medical Group Brookneal.

Where is Centra Medical Group, LLC located?

Centra Medical Group, LLC is located at 104 Carolina Ave, Brookneal, VA 24528. The listed phone number is (434) 376-2325.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 49D0233092) is associated with this NPI, valid through August 31, 2026. 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 April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.