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SOPHIA BARREE HUMPHREY
NPI 1710781604
Student in an Organized Health Care Education/Training Program in Charleston, SC

Active since April 01, 2025PECOS Enrolled
96 JONATHAN LUCAS ST, CSB 210, MSC 323, CHARLESTON, SC 29425(843) 792-2300 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 30, 2026, Apr 1, 2025 (2 updates tracked since 2025).

About Sophia Barree Humphrey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIA BARREE HUMPHREY (NPI 1710781604) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710781604
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOPHIA BARREE HUMPHREY
Location Address96 JONATHAN LUCAS ST, CSB 210, MSC 323Charleston, SC 29425-8900
Mailing Address96 Jonathan Lucas StCharleston, SC 29425-8900
Phone(843) 792-2300
Sole ProprietorNo
Enumeration DateApril 1, 2025
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1710781604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License LL97414 (SC)
96 JONATHAN LUCAS ST, Charleston, SC 29425
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Barree Humphrey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER MARIE SMITH PA-C
Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (404) 277-6303
MUSC HOSPITAL
General Acute Care Hospital
96 JONATHAN LUCAS ST, SUITE 409
CHARLESTON, SC 29425
Charleston County (843) 792-5897
MS. JOANNA JOY WARD PA-C
Physician Assistant (Medical)
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-2300
MAYA HADAS WAHL PA-C
Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-2867
DERLIS CHRISTIAN FLEITAS SOSA MD
Internal Medicine (Pulmonary Disease)
96 JONATHAN LUCAS ST, STE 816 CSB MSC 630
CHARLESTON, SC 29425
Charleston County (943) 792-3167
ANGELA JESSUP SHEALY PA-C
Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-1414
DR. FAYE N HANT D.O.
Internal Medicine (Rheumatology)
96 JONATHAN LUCAS ST, SUITE 912 CSB
CHARLESTON, SC 29425
Charleston County (843) 792-3484
MONTHER SAUD AMER ALTITI MD
Surgery
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-3553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Humphrey's NPI number?

The NPI number for Sophia Humphrey is 1710781604. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Sophia Humphrey located?

Sophia Humphrey practices at 96 Jonathan Lucas St Csb 210, Msc 323, Charleston, SC 29425. The listed phone number is (843) 792-2300.

What is Sophia Humphrey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sophia Humphrey enrolled in Medicare?

Yes. Sophia Humphrey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Humphrey was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.