NPIMap

Individual provider Active NPI

Sonya Gilbert, P.A./C.

  • Physician Assistant
  • Groveton, NH
National Provider Identifier
1780867994
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0693 Issued in NH
Practice address
47 Church St
Groveton, NH 03582-4061
Phone
(603) 636-1101
Fax
(603) 788-5027
NPI assigned
Dec 11, 2007
Last updated
Nov 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0693 NH Primary
Medical Physician Assistant 363AM0700X 1265 SC

Addresses

Primary practice location

47 Church St
Groveton, NH 03582-4061

Mailing address

47 Church St
Groveton, NH 03582-4061
Phone (603) 636-1101

Other identifiers 1

IdentifierTypeStateIssuer
9000394MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000110 NH Practitioner - Physician Assistant 4981673787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weeks Medical CenterGroup PAC ID 2769461284, 71 clinicians

Practice addresses (Care Compare)

173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-4911

47 Church St
Groveton, NH 03582-4061
Phone (603) 636-1101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1265SCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Medical Center CurrentSince Oct 8, 2008 Accepting new patients
Weeks Medical Center CurrentSince Oct 8, 2008 Accepting new patients
Kelli M Carter MD LLC Past Accepting new patients
Weeks Medical Center Past Accepting new patients
Androscoggin Valley Hospital Inc Past Accepting new patients

Locations

47 Church St
Groveton, NH 03582
Phone (603) 636-1101

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

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.

Hospital & facility affiliations 7

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1780867994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CHURCH ST",
            "city": "GROVETON",
            "state": "NH",
            "postal_code": "035824061",
            "telephone_number": "603-636-1101",
            "fax_number": "603-788-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CHURCH ST",
            "city": "GROVETON",
            "state": "NH",
            "postal_code": "035824061",
            "telephone_number": "603-636-1101",
            "fax_number": "603-788-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "SONYA",
        "name_prefix": "Mrs.",
        "credential": "P.A./C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0693",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1265",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000394",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveton, NH

Sources for this page

Verify at the official NPI Registry.