Active NPI
Sonia Ann Varghese, MD MPH MBA
- Neurology with Special Qualifications in Child Neurology Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 2022-02399
- Practice address
- 510 Carolina Bay Dr Ste 200
Wilmington, NC 28403-2046 - Phone
- (910) 662-8888
- Fax
- (910) 662-8906
- NPI assigned
- Apr 27, 2017
- Last updated
- Mar 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 228185 | NC | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 2022-02399 | NC | Primary |
Addresses
Primary practice location
510 Carolina Bay Dr Ste 200
Wilmington, NC 28403-2046
Mailing address
7031 Villa Mountain LN
Spring, TX 77379
Phone (832) 490-7763
Other practice location 1
7031 Villa Mountain Ln
Spring, TX 77379
Phone (832) 490-7763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-02399 | NC | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| New Hanover Medical Group PA | Past | Accepting new patients |
Locations
2000 Brabham Ave
Jacksonville, NC 28546
Phone (910) 662-8765
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
510 Carolina Bay Dr
Ste 200
Wilmington, NC 28403
Phone (910) 662-8888
Interoperability endpoints
- svarghese1459758@direct.novanthealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHMGCR Cape Fear Heart
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
dba Novant Health UNC Children's
- Pediatrics Physician
- Wilmington, NC
- NPI 1144800137
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1992751374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1336674357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7031 VILLA MOUNTAIN LN",
"city": "SPRING",
"state": "TX",
"postal_code": "77379",
"telephone_number": "832-490-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 CAROLINA BAY DR STE 200",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032046",
"telephone_number": "910-662-8888",
"fax_number": "910-662-8906"
}
],
"practiceLocations": [
{
"address_1": "7031 Villa Mountain Ln",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "77379",
"country_code": "US",
"telephone_number": "832-490-7763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGHESE",
"first_name": "SONIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD MPH MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "228185",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NC",
"license": "2022-02399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.