Active NPI
Sophia Gevoy
- Dermatology Physician
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- PA9113698
- Practice address
- 8209 State Road 54
New Port Richey, FL 34655-3016 - Phone
- (727) 569-1055
- NPI assigned
- Oct 16, 2020
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | PA9113698 | FL | Primary |
Addresses
Primary practice location
8209 State Road 54
New Port Richey, FL 34655-3016
Mailing address
2202 N Lois Ave Apt 1121
Tampa, FL 33607-2537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Dermatology | Current | Accepting new patients |
| Leavitt Medical Associates of Florida Inc | Dermatology | Current | Accepting new patients |
| Forest Drive Physicians | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Alan Bolton, MD, PC | Past | Accepting new patients |
Locations
1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474
82245 Overseas Hwy
Islamorada, FL 33036
Phone (305) 664-0700
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
8209 State Road 54
New Prt Rchy, FL 34655
Phone (727) 569-1055
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
Organizations & group practices 7
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.
-
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
- Urgent Care Clinic/Center
- Hallandale Beach, FL
- NPI 1528691961
-
- Dermatology Physician
- Berkley, MI
- NPI 1275022519
-
- Dermatology Physician
- Bay Harbor Islands, FL
- NPI 1659513455
-
- Obstetrics & Gynecology Physician
- Berkley, MI
- NPI 1467632901
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1740590157
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1952909467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N LOIS AVE APT 1121",
"city": "TAMPA",
"state": "FL",
"postal_code": "336072537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8209 STATE ROAD 54",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346553016",
"telephone_number": "727-569-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEVOY",
"first_name": "SOPHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-16",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "PA9113698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.