Centra Medical Group Southside, Llc is a Neurology Clinic in Farmville, Virginia. It is located at 800 Oak St, Farmville, VA and its contact number is 434-200-3656. The authorized person for Centra Medical Group Southside, Llc is William Bass
who is Cfo of the clinic and his/her contact number is 434-392-8811.
Centra Medical Group Southside, Llc Clinic has licensed physician, who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Complete Clinic Profile:
Centra Medical Group Southside, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Centra Medical Group Southside, Llc |
| Specialization: | Neurology |
| Clinic Address: | 800 Oak St, Farmville,
Virginia, 23901-1199 |
| Phone: | 434-200-3656 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | William Bass |
| Position: | Cfo |
| Contact Number: | 434-392-8811 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Centra Medical Group Southside, Llc clinic are as mentioned below.
| NPI Number: | 1841479565 |
| NPI Enumeration Date: | 30 Oct, 2007 |
| NPI Last Update On: | 07 Aug, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Centra Medical Group Southside, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | | Primary | |
| Internal Medicine | | | Secondary | |
| Endocrinology, Diabetes & Metabolism | | | Secondary | |
| Neurology | | | Secondary | |
| Surgery | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 345608 | Other | Virginia | Anthem Bcbs (312 King Street) |
| 61459600 | Other | Virginia | Black Lung/feca (ste 3105) |
| 61459602 | Other | Virginia | Black Lung/feca (412 Namozine Str) |
| 61459604 | Other | Virginia | Black Lung/feca (1418 6th St) |
| 345604 | Other | Virginia | Anthem Bcbs (800 Oak Street) |
| 345307 | Other | Virginia | Anthem, Bcbs (1418 6th Street) |
| 345606 | Other | Virginia | Anthem Bcbs (412 Namozine Street) |
| 61459601 | Other | Virginia | Black Lung/feca (312 King St) |
| 61459603 | Other | Virginia | Black Lung/feca (1705 3rd St) |
| 1841479565 | Medicaid | Virginia | |
| 9978134 | Other | Virginia | Aetna |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Centra Medical Group Southside, Llc
2010 Atherholt Rd,
Lynchburg, Virginia |
| Zip: | 24501-1106 |
| Phone Number: | -- |
Patients can reach Centra Medical Group Southside, Llc at
800 Oak St, Farmville, Virginia or can
call to book an appointment on 434-200-3656.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.