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

Centra Medical Group Southside, LLC

Organization Family Medicine Physician · NPI 1841479565

Centra Medical Group Southside, LLC is a Family Medicine Physician in Farmville, Virginia. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 Oak St
Farmville, VA 23901-1199
Phone: (434) 200-3656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Neurology Physician Taxonomy 2084N0400X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1841479565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Bass — Cfo · (434) 392-8811
NPI enumeratedOctober 30, 2007
Last updated in NPPESAugust 7, 2014
Mailing address2010 Atherholt Rd, Lynchburg, VA 24501-1106

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