Individual provider Active NPI

Sophia Mae Edwards-Bennett, MD, PH.D

  • Radiation Oncology Physician
  • Huntington, WV
National Provider Identifier
1942468426
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
34473 Issued in WV
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5921093MedicaidNC
692677OtherSCWELLCARE
109558300MedicaidFL
344835MedicaidSC
1942468426MedicaidWV
9322600OtherSCAETNA
80023852OtherSCSELECT HEALTH
P01070951OtherSCRAILROAD MEDICARE
4952170OtherSCCIGNA

Electronic endpoints 3

TypeEndpointUseAffiliation
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, MI7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20101013000238 FL Practitioner - Radiation Oncology 6608068341 Reassigns benefits to 1 organization
I20180524002623 WI Practitioner - Radiation Oncology 6608068341 Reassigns benefits to 1 organization
I20181205002305 SD Practitioner - Radiation Oncology 6608068341 Reassigns benefits to 2 organizations
I20200928000853 IN Practitioner - Radiation Oncology 6608068341 Reassigns benefits to 1 organization
I20250324001829 WV Practitioner - Radiation Oncology 6608068341 Reassigns benefits to 1 organization
I20250402002308 IA Practitioner - Radiation Oncology 6608068341 Reassigns benefits to 1 organization
I20260515001587 MI Practitioner - Radiation Oncology 6608068341 Reassigns benefits to 1 organization

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
Cabell Huntington Hospital IncGroup PAC ID 3274436340, 88 clinicians
Mercy Medical Center-DubuqueGroup PAC ID 2668467168, 20 clinicians

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

LicenseStateTypeSpecialty
ME108066FLMDRadiation Oncology Physician
MD34483SCMDRadiation Oncology Physician
34473WVMDRadiation Oncology Physician
24405-1NYMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Oct 1, 2018 Accepting new patients
Avera St Marys CurrentSince Apr 1, 2019 Accepting new patients
Cabell Huntington Hospital Inc CurrentSince Feb 10, 2025 Accepting new patients
Avera McKennan CurrentSince Oct 1, 2018 Accepting new patients
Cabell Huntington Hospital Inc Current Accepting new patients
Ohi West Medical Group, LLC CurrentSince Jan 9, 2026 Accepting new patients
Northern Illinois Cancer Treatment Center Radiation Oncology Current Accepting new patients
The Monroe Clinic, Inc. CurrentSince Apr 13, 2020 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 15, 2020 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Jan 9, 2026 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Feb 24, 2025 Accepting new patients
Avera St Marys Current Accepting new patients
Cabell Huntington Hospital Inc CurrentSince Feb 10, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
Avera St Marys CurrentSince Apr 1, 2019 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Apr 13, 2020 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Feb 24, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 15, 2020 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

  • Direct secure messaging: sedwardsbennett4074876@direct.trinity-health.org
  • Direct secure messaging: 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.

View all 21

Hospital & facility affiliations 3

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1942468426",
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            "address_purpose": "MAILING",
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            "address_1": "1340 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013804",
            "telephone_number": "304-399-6500",
            "fax_number": "304-399-6621"
        },
        {
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            "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": [
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            "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",
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            "identifier": "109558300",
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            "issuer": null,
            "identifier": "344835",
            "state": "SC"
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            "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

Verify at the official NPI Registry.