STACI M HOLLES-SOBOTA DO
NPI 1740471077
Family Medicine in Indian Land, SC

Q: What is Staci Holles-sobota's NPI number?

The NPI number for Staci Holles-sobota is 1740471077. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Q: What is Staci Holles-sobota's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 01, 2007PECOS Enrolled

8384 CHARLOTTE HWY, INDIAN LAND, SC 29707(703) 689-9037(703) 689-9109 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2019, Jul 26, 2018 (2 updates tracked since 2018).

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About Staci M Holles-sobota Do NPPES

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

STACI M HOLLES-SOBOTA DO (NPI 1740471077) is an individual family medicine provider in Indian Land, South Carolina, licensed in South Carolina (37739) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740471077

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTACI M HOLLES-SOBOTACredential: DO

Location Address8384 CHARLOTTE HWYIndian Land, SC 29707-6532

Mailing Address1300 Piccard Drive, Suite 202 Emergency Medicine AssociatesRockville, MD 20850-4303 · (301) 921-7900 · Fax (301) 921-7915

Phone(703) 689-9037

Fax(703) 689-9109

Sole ProprietorNo

Enumeration DateAugust 1, 2007

Last NPPES UpdateSeptember 18, 20192 updates tracked since enumeration

✔ NPI 1740471077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 37739

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 37739 (SC), 0102202037 (VA)

8384 CHARLOTTE HWY, Indian Land, SC 29707

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Secondary Practice Locations 2

Location 1502 Sixth Baxter XingFort Mill, SC 29708-6596 · Phone (803) 396-8100 · Fax (803) 396-8040

Location 21190 Filbert Hwy Ste 110York, SC 29745-9324 · Phone (803) 628-0004 · Fax (803) 628-6004

Other Identifiers 1

Medicaid377391SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staci M Holles-sobota Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MR. MICHAEL JOSEPH GEOFFRION NP

Nurse Practitioner

8384 CHARLOTTE HWY
INDIAN LAND, SC 29707

Lancaster County (803) 547-2426

PAIGE ELIZABETH LIGON PA-C

Physician Assistant

8384 CHARLOTTE HWY
INDIAN LAND, SC 29707

Lancaster County (803) 547-2426

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 Staci Holles-sobota's NPI number?

The NPI number for Staci Holles-sobota is 1740471077. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Staci Holles-sobota located?

Staci Holles-sobota practices at 8384 Charlotte Hwy, Indian Land, SC 29707. The listed phone number is (703) 689-9037.

What is Staci Holles-sobota's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Staci Holles-sobota enrolled in Medicare?

Yes. Staci Holles-sobota is registered in the Medicare PECOS enrollment system.

What insurance does Staci Holles-sobota accept?

Health plans from First Choice Next list Staci Holles-sobota as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Staci Holles-sobota was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.