CENTRA MEDICAL GROUP SOUTHSIDE, LLC – NPI #1841479565
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.
CENTRA MEDICAL GROUP SOUTHSIDE, LLC is a provider located in FARMVILLE, VA. NPPES has assigned the NPI number 1841479565 to CENTRA MEDICAL GROUP SOUTHSIDE, LLC on October 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 12 years ago on Aug 07, 2014. 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 CENTRA MEDICAL GROUP SOUTHSIDE, LLC below.
NPI Profile for
CENTRA MEDICAL GROUP SOUTHSIDE, LLC
(more than 18 years ago)
FARMVILLE, VA 23901-1199 Phone: (434) 200-3656 Fax:
LYNCHBURG, VA 24501-1106 Phone: Fax:
CFO
Phone: (434) 392-8811
Identifiers for CENTRA MEDICAL GROUP SOUTHSIDE, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | AETNA | VA | 9978134 |
| OTHER | ANTHEM BCBS (312 KING STREET) | VA | 345608 |
| OTHER | ANTHEM BCBS (412 NAMOZINE STREET) | VA | 345606 |
| OTHER | ANTHEM BCBS (800 OAK STREET) | VA | 345604 |
| OTHER | ANTHEM, BCBS (1418 6TH STREET) | VA | 345307 |
| OTHER | BLACK LUNG/FECA (1418 6TH ST) | VA | 61459604 |
| OTHER | BLACK LUNG/FECA (1705 3RD ST) | VA | 61459603 |
| OTHER | BLACK LUNG/FECA (312 KING ST) | VA | 61459601 |
| OTHER | BLACK LUNG/FECA (412 NAMOZINE STR) | VA | 61459602 |
| OTHER | BLACK LUNG/FECA (STE 3105) | VA | 61459600 |
| MEDICAID | VA | 1841479565 |
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) |
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| 208600000X - Surgery |
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| 2084N0400X - Psychiatry & Neurology / Neurology |
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| 207RE0101X - Internal Medicine / Endocrinology, Diabetes & Metabolism |
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| 207R00000X - Internal Medicine |
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.