CENTRA PACE
NPI 1952651770
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Farmville, VA

Active since September 19, 2012CLIA 49D2050071 · Waiver
1530 S MAIN ST, FARMVILLE, VA 23901(434) 315-2890(434) 392-0333 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centra Pace NPPES

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

CENTRA PACE (NPI 1952651770) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Farmville, Virginia and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Doug Davenport, Cfo, as its authorized official.

NPPES Registry Identity

NPI1952651770
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameCENTRA PACE - FARMVILLE
Location Address1530 S MAIN STFarmville, VA 23901-4512
Mailing Address1530 S Main StFarmville, VA 23901-4512 · (434) 315-2890 · Fax (434) 392-0333
Fax(434) 392-0333
Organization SubpartYesParent: Centra Health
Authorized OfficialDoug DavenportCfo · (434) 200-4708
Enumeration DateSeptember 19, 2012
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
NPI 1952651770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
1530 S MAIN ST, Farmville, VA 23901

Other Names 1

Doing Business AsCentra Pace

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 Waiver 49D2050071

Centra Pace - Farmville · Farmville, VA
Active · expires Nov 18, 2026
CLIA Number49D2050071
Laboratory TypePace Program
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorKrystle Lewis
Laboratory Phone(434) 315-2890
Laboratory LocationCentra Pace - Farmville1530 South Main Street, Farmville, VA 23901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Geriatric Medicine)
1530 S MAIN ST
FARMVILLE, VA 23901
Nurse Practitioner (Adult Health)
1530 S MAIN ST
FARMVILLE, VA 23901

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 Pace - Farmville's NPI number?

The NPI number for Centra Pace - Farmville is 1952651770. It was assigned to this organization in the NPPES registry on September 19, 2012. The provider is doing business as Centra Pace.

Where is Centra Pace - Farmville located?

Centra Pace - Farmville is located at 1530 S Main St, Farmville, VA 23901. The listed phone number is (434) 315-2890.

What is Centra Pace - Farmville's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Centra Pace - Farmville hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2050071) is associated with this NPI, valid through November 18, 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 Pace - Farmville was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.