Overview
The Central-West region serves the area in and around the Roanoke Valley, Greater Lynchburg, and the Southside.
Central-West is home to around three quarters of a million people, many of whom live in a handful of more densely populated areas surrounded by the Virginia mountains and rolling foothills. The SBC of Virginia has placed missionaries strategically in these population centers, but also maintains a presence and a heart for communities tucked away in more secluded areas.
With 140 churches and growing, Central-West is the region with the greatest SBC of Virginia presence, but there are still many who need to be reached.

The Central-West Region includes the following counties:
| Alleghany |
Charlotte |
Lynchburg |
| Amherst |
Clifton Forge |
Martinsville |
| Appomattox |
Covington |
Nelson |
| Augusta |
Craig |
Pittsylvania |
| Bath |
Danville |
Roanoke |
| Bedford |
Franklin |
Roanoke City |
| Bedford City |
Halifax |
Rockbridge |
| Botetourt |
Henry |
Salem |
| Buena Vista |
Highland |
Staunton |
| Campbell |
Lexington |
Waynesboro |
Total SBCV Churches and Church Plants: 140
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Missionaries