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CENTRA PACE- GRETNA
NPI 1972969871
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Gretna, VA

Active since January 07, 2016CLIA 49D2109696 · Waiver
1220 W GRETNA RD, GRETNA, VA 24557(434) 200-7000 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centra Pace- Gretna NPPES

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

CENTRA PACE- GRETNA (NPI 1972969871) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Gretna, Virginia and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists George C Graham, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972969871
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameCENTRA PACE- GRETNA
Location Address1220 W GRETNA RDGretna, VA 24557-4087
Mailing AddressPo Box 498Gretna, VA 24557-0498 · (434) 200-7000
Phone(434) 200-7000
Organization SubpartYesParent: Centa Health, Inc
Authorized OfficialGeorge C GrahamExecutive Director · (434) 200-7000
Enumeration DateJanuary 7, 2016
✔ NPI 1972969871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
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.
1220 W GRETNA RD, Gretna, VA 24557
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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 49D2109696

Centra Pace - Gretna · Gretna, VA
Active · expires Feb 29, 2028
CLIA Number49D2109696
Laboratory TypePace Program
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorKrystle Lewis
Laboratory Phone(434) 656-4800
Laboratory LocationCentra Pace - Gretna1220 W Gretna Road, Gretna, VA 24557
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only 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.

CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Family Medicine
1220 W GRETNA RD
GRETNA, VA 24557
Pittsylvania County (434) 656-1274
RENEA JOHNSON COOPER L.P.T.A
Physical Therapy Assistant
1220 W GRETNA RD
GRETNA, VA 24557
Pittsylvania County (434) 656-8535
DR. VALERIE GRIMES PT, DPT
Physical Therapist
1220 W GRETNA RD
GRETNA, VA 24557
Pittsylvania County (434) 656-1274
MISS JENIFER KELLI HOFFERT P.A.
Physician Assistant
1220 W GRETNA RD
GRETNA, VA 24557
Pittsylvania County (434) 656-1274
DR. JOSEPH D HOSTETLER MD
Family Medicine
1220 W GRETNA RD
GRETNA, VA 24557
Pittsylvania County (434) 656-1274
KURTISE WILKES PT
Physical Therapist
1220 W GRETNA RD
GRETNA, VA 24557
Pittsylvania County (434) 656-1274
MS. VIOLET P. ESPOSITO FNP
Nurse Practitioner (Family)
1220 W GRETNA RD
GRETNA, VA 24557
Pittsylvania County (434) 656-1274
MRS. SHANNON MARIE JONES MSPT, CEAS
Physical Therapist (Ergonomics)
1220 W GRETNA RD
GRETNA, VA 24557
Pittsylvania County (434) 656-8535

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- Gretna's NPI number?

The NPI number for Centra Pace- Gretna is 1972969871. It was assigned to this organization in the NPPES registry on January 7, 2016.

Where is Centra Pace- Gretna located?

Centra Pace- Gretna is located at 1220 W Gretna Rd, Gretna, VA 24557. The listed phone number is (434) 200-7000.

What is Centra Pace- Gretna'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- Gretna hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2109696) is associated with this NPI, valid through February 29, 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 Pace- Gretna was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.