Individual provider Active NPI

Elizabeth Joan Soto, PA

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1417336876
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
312 Jonestown Rd
Winston Salem, NC 27104-4621
Phone
(336) 716-7576
Fax
(336) 702-9342
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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 Primary

Addresses

Primary practice location

312 Jonestown Rd
Winston Salem, NC 27104-4621

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Other practice location 1

1551 Westbrook Plaza Dr Ste 200
Winston Salem, NC 27103-1355
Phone (336) 896-1477

Other practice location 2

1995 Bethabara Rd
Winston Salem, NC 27106-3375
Phone (336) 896-1477

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ESOTO129882@DIRECT.NOVANTHEALTH.ORG
Direct Messaging Address ESOTO129882@DIRECT.NOVANTHEALTH.ORG

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
I20151014002299 NC Practitioner - Physician Assistant 3072822022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1038 Bethania Rural Hall Rd
Rural Hall, NC 27045-9552
Phone (336) 716-2255

312 Jonestown Rd
Winston Salem, NC 27104-4621
Phone (336) 716-7576

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Thomasville Medical Center, LLC CurrentSince Mar 1, 2022 Accepting new patients
Wake Forest University Health Sciences CurrentSince Feb 19, 2024 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

1551 Westbrook Plaza Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 896-1477

312 Jonestown Rd
Winston Salem, NC 27104
Phone (336) 716-7576

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: esoto2808556@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: esoto129882@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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1417336876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 JONESTOWN RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044621",
            "telephone_number": "336-716-7576",
            "fax_number": "336-702-9342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Westbrook Plaza Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031355",
            "country_code": "US",
            "telephone_number": "336-896-1477",
            "fax_number": "336-896-7986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 Bethabara Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063375",
            "country_code": "US",
            "telephone_number": "336-896-1477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO",
        "first_name": "ELIZABETH",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ESOTO129882@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "1995 Bethabara Rd",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271063375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ESOTO129882@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "1551 Westbrook Plaza Dr Ste 200",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271031355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.