Individual provider Active NPI

Sonia Lau Sebastiano, P.A.-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1386692408
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001010546 Issued in NC
Practice address
6324 Fairview Rd Ste 200
Charlotte, NC 28210-3361
Phone
(980) 302-9700
NPI assigned
May 4, 2006
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001010546 NC Primary

Addresses

Primary practice location

6324 Fairview Rd Ste 200
Charlotte, NC 28210-3361

Mailing address

6324 Fairview Rd Ste 200
Charlotte, NC 28210-3361
Phone (980) 302-9700

Other names 1

  • Sonia Lau Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sonia.sebastiano@novanthealth.org Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617000880 NC Practitioner - Physician Assistant 3476515883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Western University of Health Sciences College of Dental Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1450 Matthews Township Pkwy
Matthews, NC 28105-4300

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
16060CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc. CurrentSince Oct 6, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 6, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

6324 Fairview Rd
Ste 200
Charlotte, NC 28210
Phone (704) 316-5070

9604 Holly Point Dr
Huntersville, NC 28078
Phone (704) 316-5070

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: ssebastiano1161661@direct.novanthealth.org

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1386692408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 FAIRVIEW RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103361",
            "telephone_number": "980-302-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 FAIRVIEW RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103361",
            "telephone_number": "980-302-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIANO",
        "first_name": "SONIA",
        "middle_name": "LAU",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001010546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sonia.sebastiano@novanthealth.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6324 Fairview Rd Ste 200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282103361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "LAU",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.