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: November 01, 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, 2028 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

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

755

Medicare enrollment records show 755 clinicians reassign Medicare billing to Centra Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner144
Emergency Medicine67
Certified Registered Nurse Anesthetist (CRNA)60
Hospitalist56
Diagnostic Radiology47
Family Practice45
Anesthesiology39
Psychiatry34
41 other specialties263

Nearest to this location (20)

See all 755
Nurse Practitioner
NPI 1467112821
104 CAROLINA AVE
Brookneal, VA 24528
(434) 376-2325
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1689783631
104 CAROLINA AVE
Brookneal, VA 24528
(434) 376-2325
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609397462
104 CAROLINA AVE
Brookneal, VA 24528
(434) 376-2325
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205219649
1280 MAIN ST SUITE A
Altavista, VA 24517
(434) 309-1165
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1669257341
1280A MAIN ST
Altavista, VA 24517
(434) 309-1165
✔ PECOS✔ Accepts Medicare19 mi
Hospice/Palliative Care
NPI 1043471485
527 POCKET RD
Hurt, VA 24563
(434) 324-9150
✔ PECOS20 mi
Nurse Practitioner
NPI 1275029829
181 OLD COURTHOUSE RD
Appomattox, VA 24522
(434) 352-3003
✔ PECOS23 mi
Mental Health Counselor
NPI 1851965412
226 UNION BOULEVARD
Appomattox, VA 24522
(434) 352-8239
✔ PECOS✔ Accepts Medicare23 mi
Emergency Medicine
NPI 1629659073
2204 WILBORN AVE
South Boston, VA 24592
(434) 517-3123
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1750388674
213 WINDY RD
Gretna, VA 24557
(434) 324-9150
✔ PECOS23 mi
Emergency Medicine
NPI 1861886228
EMERGENCY DEPARTMENT 1901 TATE SPRINGS RD
Lynchburg, VA 24501
(434) 200-7387
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1184383663
274 OLD GRIST MILL RD
Appomattox, VA 24522
(434) 660-5209
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1770957995
291 MCBRIDE LANE
Gretna, VA 24557
(434) 656-1274
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1295603918
291 MCBRIDE LN
Gretna, VA 24557
(434) 656-1274
✔ PECOS✔ Accepts Medicare25 mi
Mental Health Counselor
NPI 1801400049
693 LEESVILLE RD
Lynchburg, VA 24502
(434) 200-5750
✔ PECOS✔ Accepts Medicare25 mi
Hospitalist
NPI 1659547339
1220 W GRETNA RD
Gretna, VA 24557
(434) 656-1274
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1427219674
2321 WARDS RD
Lynchburg, VA 24502
(434) 582-2273
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1780998393
1300 ENTERPRISE DR
Lynchburg, VA 24502
(434) 420-0672
✔ PECOS27 mi
Obstetrics/Gynecology
NPI 1447232228
114 NATIONWIDE DR
Lynchburg, VA 24502
(434) 239-7890
✔ PECOS✔ Accepts Medicare27 mi
Internal Medicine
NPI 1689178493
125 NATIONWIDE DR
Lynchburg, VA 24502
(434) 200-3908
✔ PECOS✔ Accepts Medicare27 mi
See all 755 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 2028
CLIA Number49D0233092
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
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.

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.

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), 755 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), Emergency Medicine (67) and Certified Registered Nurse Anesthetist (CRNA) (60). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 2028. 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 18 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.