Active NPI
Sopio Motsonelidze
- Rheumatology Physician
- Aiken, SC
National Provider Identifier
1508547753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 90606
- Practice address
- 302 University Pkwy
Aiken, SC 29801-6302 - Phone
- (803) 641-5000
- NPI assigned
- Jul 31, 2023
- Last updated
- Jul 28, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 90606 | SC | Primary |
Addresses
Primary practice location
302 University Pkwy
Aiken, SC 29801-6302
Mailing address
225 Richardson St Apt 4105
Cayce, SC 29033-4437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240313003689 | SC | Order and Referring Only - Internal Medicine | 2163868027 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90606 | SC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1508547753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 RICHARDSON ST APT 4105",
"city": "CAYCE",
"state": "SC",
"postal_code": "290334437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 UNIVERSITY PKWY",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016302",
"telephone_number": "803-641-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTSONELIDZE",
"first_name": "SOPIO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "SC",
"license": "90606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.