Active NPI
Sophie Qajari
- Anesthesiology Physician
- Augusta, GA
National Provider Identifier
1194641084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 114043
- Practice address
- 1120 15TH St # Bi2144
Augusta, GA 30912-0004 - Phone
- (762) 375-5836
- NPI assigned
- Jun 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 114043 | GA | Primary |
Addresses
Primary practice location
1120 15TH St # Bi2144
Augusta, GA 30912-0004
Mailing address
3601 W Hidden LN Unit 101
Rolling Hills Estates, CA 90274-4105
Phone (424) 305-8639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1194641084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W HIDDEN LN UNIT 101",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902744105",
"telephone_number": "424-305-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST # BI2144",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "762-375-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QAJARI",
"first_name": "SOPHIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-25",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "114043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.