Individual provider Active NPI

Sofia J Umali-Jhanji, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1396762837
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20126 Issued in SC
Practice address
606 Wade Ave
Suite 100
Raleigh, NC 27605-1390
Phone
(919) 443-2360
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400475-1 NY
Nurse Practitioner 363L00000X 20126 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 20126 SC Primary

Addresses

Primary practice location

606 Wade Ave
Suite 100
Raleigh, NC 27605-1390

Mailing address

606 Wade Ave
Suite 100
Raleigh, NC 27605-1390

Other identifiers 1

IdentifierTypeStateIssuer
02510543MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160722001178 SC Practitioner - Nurse Practitioner 2264410950 Reassigns benefits to 3 organizations
I20161107001648 NC Practitioner - Nurse Practitioner 2264410950 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NM Pacs 2 LLCGroup PAC ID 3375892060, 108 clinicians
Inpatient Consultants of North Carolina PCGroup PAC ID 5991720591, 85 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians

Practice addresses (Care Compare)

149 Fairhaven Dr
Bostic, NC 28018-8759
Phone (828) 245-9095

290 N Grove Medical Park Dr
Spartanburg, SC 29303-4222
Phone (864) 345-1700

515 Barbour Rd
Smithfield, NC 27577-7698
Phone (919) 934-6017

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 283-3100

70 Oak St
Tryon, NC 28782-3797
Phone (828) 859-9161

707 N Elm St
High Point, NC 27262-3917
Phone (336) 885-0141

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20126SCMDNurse Practitioner
F400475-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NM Pacs 2 LLC CurrentSince Oct 22, 2020 Accepting new patients
NV Pacs 2 LLC CurrentSince Mar 19, 2022 Accepting new patients
Inpatient Consultants of North Carolina, PC Nurse Practitioner CurrentSince Sep 20, 2016 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
South Carolina Post Acute Medical Services 1 PC CurrentSince Oct 1, 2017 Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients
Hospitalist Healthcare Services PLLC Nurse Practitioner Past Accepting new patients
Extended Care Physicians - Mountain, PA Nurse Practitioner Past Accepting new patients

Locations

90 Southside Ave
Ste 350
Asheville, NC 28801
Phone (864) 412-0446

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

606 Wade Ave
Ste 100
Raleigh, NC 27605
Phone (919) 443-2360

515 Barbour Rd
Smithfield, NC 27577
Phone (919) 227-6261

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

2333 Ashley River Rd
Charleston, SC 29414
Phone (843) 258-5538

510 Thompson St
Gaffney, SC 29340
Phone (864) 489-3101

290 North Grove Medical Park Dr
Spartanburg, SC 29303
Phone (864) 345-1700

300 Agape Dr
West Columbia, SC 29169
Phone (562) 933-5437

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1396762837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 WADE AVE",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 WADE AVE",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051390",
            "telephone_number": "919-443-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMALI-JHANJI",
        "first_name": "SOFIA",
        "middle_name": "J",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400475-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "20126",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "20126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02510543",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.