Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centra Medical Group Southside, LLC

Organization Emergency Medicine Physician · NPI 1174864615

Centra Medical Group Southside, LLC is an Emergency Medicine Physician in Farmville, Virginia. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

800 Oak St
Farmville, VA 23901-1199
Phone: (434) 315-2530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1174864615
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentra Medical Group Southside, LLC
Authorized official William Bass — Vp Coo · (434) 315-2432
Other names Centra Southside Emergency Professional Services
NPI enumeratedMarch 8, 2013
Last updated in NPPESMarch 8, 2013
Mailing address1204 Fenwick Dr, Lynchburg, VA 24502-2112

Other providers in Farmville