CENTRA MEDICAL GROUP LLC NPI 1790579647

NPI Information

  • NPI: 1790579647
  • Provider Name: CENTRA MEDICAL GROUP, LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 2125 LANGHORNE RD STE 501
    LYNCHBURG, VA
    ZIP 24501
  • Phone: (434) 200-5297

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NPI Details

CENTRA MEDICAL GROUP, LLC is an urology in Lynchburg, VA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CENTRA MEDICAL GROUP, LLC NPI is 1790579647. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2125 LANGHORNE RD STE 501
LYNCHBURG, VA
ZIP 24501-423
Phone: (434) 200-5297
Fax: (434) 200-5371

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

The enumeration date for this NPI number is 4/7/2025 and was last updated on 4/7/2025.

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
1208800000XUrologyYes

What is NPI?

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

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