CENTRA MEDICAL GROUP LLC NPI 1710780960

NPI Information

  • NPI: 1710780960
  • Provider Name: CENTRA MEDICAL GROUP, LLC
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • Address: 693 LEESVILLE RD
    LYNCHBURG, VA
    ZIP 24502
  • Phone: (434) 200-3047

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NPI Details

CENTRA MEDICAL GROUP, LLC is a developmental - behavioral pediatrics pediatrics in Lynchburg, VA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. CENTRA MEDICAL GROUP, LLC NPI is 1710780960. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

693 LEESVILLE RD
LYNCHBURG, VA
ZIP 24502-828
Phone: (434) 200-3047

The provider's authorized official is Sonya R Turner .
The authorized official title is Sr. Director Rev Cycle and has the following contact phone number (434) 200-6942.

The enumeration date for this NPI number is 3/31/2025 and was last updated on 3/31/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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