Active NPI
Sophia Abimbola Mitchell Mejias, PA-C
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-04412
- Practice address
- 125 Queens Rd Ste 200
Charlotte, NC 28204-3578 - Phone
- (704) 343-9800
- Fax
- (704) 347-2011
- NPI assigned
- Aug 7, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-04412 | NC | Primary |
Addresses
Primary practice location
125 Queens Rd Ste 200
Charlotte, NC 28204-3578
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 343-9800
Other practice location 1
300 Medical Center Blvd
Winston Salem, NC 27157-1052
Phone (336) 716-8898
Other practice location 2
1718 E 4th St Ste 501
Charlotte, NC 28204
Phone (704) 343-9800
Other names 1
- Sophia Abimbola Mitchell
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smitchell425518@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Queens Rd
Charlotte, NC 28204-3215
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-04412 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
1718 E 4th St
Ste 501
Charlotte, NC 28204
Phone (704) 868-3256
301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100
125 Queens Rd
Ste 200
Charlotte, NC 28204
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- smitchell2755400@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 8
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Urology Physician
- Thomasville, NC
- NPI 1275255747
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1720590185
-
- Cardiovascular Disease Physician
- Huntersville, NC
- NPI 1053655647
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1982036356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 QUEENS RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043578",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011"
}
],
"practiceLocations": [
{
"address_1": "300 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271571052",
"country_code": "US",
"telephone_number": "336-716-8898",
"fax_number": "316-716-7277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1718 E 4th St Ste 501",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28204",
"country_code": "US",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL MEJIAS",
"first_name": "SOPHIA",
"middle_name": "ABIMBOLA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04412",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smitchell425518@direct.novanthealth.org",
"affiliation": "N",
"address_1": "300 Medical Center Blvd",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271571052",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SOPHIA",
"last_name": "MITCHELL",
"middle_name": "ABIMBOLA",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.