Centra Medical Group, LLC
NPI 1164720058 · Rural Health Clinic/Center · Altavista, VA
Centra Medical Group, LLC is a Rural Health Clinic/Center organization in Altavista, VA (NPI 1164720058).
Provider details
- NPI number
- 1164720058
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Centra Medical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Lewis Addison, Sr Vp, Cfo(434) 200-3656
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Altavista Medical Center Rhc
Registry dates
- Enumerated
- 2011-03-02
- Last updated
- 2012-11-14
Frequently asked questions
- What is Centra Medical Group, LLC's NPI number?
- Centra Medical Group, LLC's National Provider Identifier (NPI) is 1164720058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centra Medical Group, LLC?
- Centra Medical Group, LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Centra Medical Group, LLC located?
- Centra Medical Group, LLC's practice location on file with NPPES is 1280a Main St, Altavista, VA 24517-1465.
- What is Centra Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Centra Medical Group, LLC is (434) 309-1165.
- Who is the authorized official for Centra Medical Group, LLC?
- The authorized official listed on Centra Medical Group, LLC's NPPES record is Lewis Addison, Sr Vp, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centra Medical Group, LLC's NPI active?
- Yes — Centra Medical Group, LLC's NPI (1164720058) is active in the NPPES registry as of the last update on 2012-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.