Sophia Elizabeth Andrew, PA-C
Individual provider Active NPI Physician Assistant · Norwich, CT
NPI 1295558815 · NPPES record last updated Dec 12, 2025
Key facts
- NPI
- 1295558815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 6819 (CT)
- Practice address
- 47 Town St
Norwich, CT 06360-2323 - Phone
- (860) 889-2375
- NPI assigned
- Nov 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241218002649 | CT | Practitioner - Physician Assistant | 4880121649 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6819 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Community and Family Services, Inc. | Pediatrics | Current |
Accepting new patients |
Locations
70 Main St
Jewett City, CT 06351
Phone (860) 376-7040
47 Town St
Norwich, CT 06360
Interoperability endpoints
- sandrew748099@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6819 | CT | Yes |
Addresses
Primary practice location
47 Town St
Norwich, CT 06360-2323
Mailing address
47 Town St
Norwich, CT 06360-2323
Other providers in Norwich, CT
- Kristie Andersen
- Amelia Anderson
- Amy Lynne Anderson
- Christine Anderson
- Nancy Anderson
- Katherine Andrias
- Larisa Anisimov
- Jackilyn Annelli
- Sherida Antonacci
- Maria Aponte
All providers in Norwich, CT · Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.