Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Centra Medical Group Southside, LLC

Family Medicine Physician in Farmville, VA · enumerated 2007 · authorized official William Bass, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841479565

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Registry record

Entity type Organization (Type 2)

Legal business name Centra Medical Group Southside, LLC

Practice address 800 Oak St, Farmville, VA, 23901

Phone (434) 200-3656

Enumeration date Oct 30, 2007

Last updated in NPPES Aug 7, 2014

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name William Bass

Title Cfo

Phone (434) 392-8811

Other identifiers

Identifier	Type	State	Issuer
345608	Other	VA	ANTHEM BCBS (312 KING STREET)
61459600	Other	VA	BLACK LUNG/FECA (STE 3105)
61459602	Other	VA	BLACK LUNG/FECA (412 NAMOZINE STR)
61459604	Other	VA	BLACK LUNG/FECA (1418 6TH ST)
345604	Other	VA	ANTHEM BCBS (800 OAK STREET)
345307	Other	VA	ANTHEM, BCBS (1418 6TH STREET)
345606	Other	VA	ANTHEM BCBS (412 NAMOZINE STREET)
61459601	Other	VA	BLACK LUNG/FECA (312 KING ST)
61459603	Other	VA	BLACK LUNG/FECA (1705 3RD ST)
1841479565	Medicaid	VA	-
9978134	Other	VA	AETNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Centra Medical Group Southside, LLC?

Centra Medical Group Southside, LLC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-07.