Centra Medical Group Southside, LLC
NPI 1174864615 · Emergency Medicine Physician · Farmville, VA
Centra Medical Group Southside, LLC is a Emergency Medicine Physician organization in Farmville, VA (NPI 1174864615).
Provider details
- NPI number
- 1174864615
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Centra Medical Group Southside, LLC
- Organization subpart
- Yes
- Authorized official
- William Bass, Vp Coo(434) 315-2432
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- Centra Southside Emergency Professional Services
Registry dates
- Enumerated
- 2013-03-08
- Last updated
- 2013-03-08
Frequently asked questions
- What is Centra Medical Group Southside, LLC's NPI number?
- Centra Medical Group Southside, LLC's National Provider Identifier (NPI) is 1174864615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centra Medical Group Southside, LLC?
- Centra Medical Group Southside, LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Centra Medical Group Southside, LLC located?
- Centra Medical Group Southside, LLC's practice location on file with NPPES is 800 Oak St, Farmville, VA 23901-1199.
- What is Centra Medical Group Southside, LLC's phone number?
- The practice phone number listed in the NPPES registry for Centra Medical Group Southside, LLC is (434) 315-2530.
- Who is the authorized official for Centra Medical Group Southside, LLC?
- The authorized official listed on Centra Medical Group Southside, LLC's NPPES record is William Bass, Vp Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centra Medical Group Southside, LLC's NPI active?
- Yes — Centra Medical Group Southside, LLC's NPI (1174864615) is active in the NPPES registry as of the last update on 2013-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.