CMG SOUTHSIDE PULMONOLOGY – NPI #1336638865
Family Medicine

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.

CMG SOUTHSIDE PULMONOLOGY is a provider located in FARMVILLE, VA. NPPES has assigned the NPI number 1336638865 to CMG SOUTHSIDE PULMONOLOGY on May 10, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CMG SOUTHSIDE PULMONOLOGY” is a dba name, the actual legal business name for this organization is CENTRA MEDICAL GROUP. LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CMG SOUTHSIDE PULMONOLOGY below.

NPI Profile for
CENTRA MEDICAL GROUP. LLC

NPI Number
1336638865
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRA MEDICAL GROUP. LLC
Doing Business As (dba): CMG SOUTHSIDE PULMONOLOGY
Primary location
800 OAK ST
FARMVILLE, VA 23901-1199
Phone: (434) 315-2880 Fax:
Mailing address
1937 THOMSON DR
LYNCHBURG, VA 24501-1008
Phone: Fax:
Organization Subpart
Yes - CMG SOUTHSIDE PULMONOLOGY is subpart of another organization.
Authorized Official
JOSHUA LARKIN
PAYER CREDENTIALING MANAGER
Phone: (434) 200-5047
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.