Active NPI
Sophia Mae Edwards-Bennett, MD, PH.D
- Radiation Oncology Physician
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 34473
- Practice address
- 1400 Hal Greer Blvd
Huntington, WV 25701-4114 - Phone
- (304) 399-6500
- Fax
- (304) 399-6621
- NPI assigned
- May 30, 2008
- Last updated
- May 19, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 34473 | WV | Primary |
| Radiation Oncology Physician | 2085R0001X | ME108066 | FL | |
| Radiation Oncology Physician | 2085R0001X | MD34483 | SC | |
| Radiation Oncology Physician | 2085R0001X | TL34483 | SC | |
| Therapeutic Radiology Physician | 2085R0203X | 24405-1 | NY |
Addresses
Primary practice location
1400 Hal Greer Blvd
Huntington, WV 25701-4114
Mailing address
1340 Hal Greer Blvd
Huntington, WV 25701-3804
Phone (304) 399-6500
Other practice location 1
1970 Golf St
Sarasota, FL 34236-6908
Phone (941) 957-1000
Other practice location 2
725 6th Ave S Ste 1200
St Petersburg, FL 33701-4553
Phone (727) 553-7355
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5921093 | Medicaid | NC | |
| 692677 | Other | SC | WELLCARE |
| 109558300 | Medicaid | FL | |
| 344835 | Medicaid | SC | |
| 1942468426 | Medicaid | WV | |
| 9322600 | Other | SC | AETNA |
| 80023852 | Other | SC | SELECT HEALTH |
| P01070951 | Other | SC | RAILROAD MEDICARE |
| 4952170 | Other | SC | CIGNA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sedwardsbennett19266@direct.monroeclinic.org | Direct | |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | Sophia.EdwardsBennett@direct.chhi.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI, SD, IN, WV, IA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Hal Greer Blvd
Huntington, WV 25701-4114
Phone (304) 526-2000
150 Mercy Dr
Mercyone Dubuque Cancer Center
Dubuque, IA 52001-7320
Phone (563) 589-8024
250 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5600
250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 589-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME108066 | FL | MD | Radiation Oncology Physician |
| MD34483 | SC | MD | Radiation Oncology Physician |
| 34473 | WV | MD | Radiation Oncology Physician |
| 24405-1 | NY | MD | Therapeutic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Northern Illinois Cancer Treatment Center | Radiation Oncology | Current | Accepting new patients |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Mercy Medical Center-Dubuque | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Mercy Medical Center-Dubuque | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Past | Accepting new patients |
Locations
725 6th Ave S
Ste 1200
St Petersburg, FL 33701
Phone (727) 553-7355
250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000
5819 Reliable Pkwy
Chicago, IL 60686
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702
400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
605 N Foster St
Mitchell, SD 57301
Phone (605) 995-5756
1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
1400 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-6610
Interoperability endpoints
- sedwardsbennett4074876@direct.trinity-health.org
- sophia.edwardsbennett@direct.chhi.org
Organizations & group practices 21
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.
-
dba Cabell Huntington Hospital Anesthesia
- Anesthesiology Physician
- Huntington, WV
- NPI 1275576373
-
dba MercyOne Dubuque Medical Center
- General Acute Care Hospital
- Dubuque, IA
- NPI 1659348506
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
dba SSM Health Monroe Clinic Medical Group
- Specialist
- Monroe, WI
- NPI 1386720548
-
dba Bayfront Health St. Petersburg Medical Group
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1104901784
-
- Home Health Agency
- Huntington, WV
- NPI 1669558904
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera Medical Group McHale Institute
- Hematology & Oncology Physician
- Sioux Falls, SD
- NPI 1164780201
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cabell Huntington Hospital
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
-
dba MercyOne Dubuque Medical Center
- General Acute Care Hospital
- Dubuque, IA
- NPI 1659348506
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1942468426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013804",
"telephone_number": "304-399-6500",
"fax_number": "304-399-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257014114",
"telephone_number": "304-399-6500",
"fax_number": "304-399-6621"
}
],
"practiceLocations": [
{
"address_1": "1970 Golf St",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342366908",
"country_code": "US",
"telephone_number": "941-957-1000",
"fax_number": "941-951-2117",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 6th Ave S Ste 1200",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337014553",
"country_code": "US",
"telephone_number": "727-553-7355",
"fax_number": "727-553-7356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS-BENNETT",
"first_name": "SOPHIA",
"middle_name": "MAE",
"name_prefix": "Dr.",
"credential": "MD, PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WV",
"license": "34473",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME108066",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "SC",
"license": "MD34483",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "SC",
"license": "TL34483",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NY",
"license": "24405-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5921093",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "692677",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109558300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "344835",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942468426",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9322600",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "80023852",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01070951",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4952170",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sedwardsbennett19266@direct.monroeclinic.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "sedwardsbennett19266@direct.monroeclinic.org",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sophia.EdwardsBennett@direct.chhi.org",
"affiliation": "N",
"address_1": "1400 Hal Greer Blvd",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257014114",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.