Sophia Collins
Physician Assistant, Surgical in New London, CT. Individual provider (NPI-1).
NPI number1720711005
StatusActive
Last updated in NPPESMay 28, 2024
Details
- NPI
- 1720711005
- Entity type
- Individual (NPI-1)
- Name
- Sophia Collins
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2022
- Certification date
- May 28, 2024
- Last updated
- May 28, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 6172 | CT | Yes |
Practice location
365 Montauk AveNew London, CT 06320-4769
Phone 860-442-0711
Mailing address
365 Montauk AveNew London, CT 06320-4769
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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