Individual provider Active NPI

Sophia Lorraine Paige, M.D.

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1700865011
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9600668 Issued in NC
Practice address
3125 Springbank LN
Suite B
Charlotte, NC 28226-3345
Phone
(704) 341-1103
Fax
(704) 341-3460
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9600668 NC Primary

Addresses

Primary practice location

3125 Springbank LN
Suite B
Charlotte, NC 28226-3345

Mailing address

3125 Springbank LN
Suite B
Charlotte, NC 28226-3345
Phone (704) 341-1103

Other identifiers 1

IdentifierTypeStateIssuer
8965008MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040729000239 NC Practitioner - Obstetrics/Gynecology 1456321223 Reassigns benefits to 1 organization
I20211122002719 SC Practitioner - Obstetrics/Gynecology 1456321223 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Nov 8, 2021 Accepting new patients
Carolina Family Care, Inc CurrentSince Nov 8, 2021 Accepting new patients
Medical University Hospital Authority CurrentSince Dec 9, 2021 Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Apr 1, 2023 Accepting new patients
Medical University Hospital Authority CurrentSince Dec 9, 2021 Accepting new patients
Medical University Hospital Authority Current Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

834 W Meeting St
Lancaster, SC 29720
Phone (803) 286-9963

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1700865011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 SPRINGBANK LN",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263345",
            "telephone_number": "704-341-1103",
            "fax_number": "704-341-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 SPRINGBANK LN",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263345",
            "telephone_number": "704-341-1103",
            "fax_number": "704-341-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "SOPHIA",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9600668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8965008",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.