Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sophia Avery

Individual provider Obstetrics & Gynecology Physician · NPI 1174167100

Sophia Avery is a Physician Assistant in Rochester, New York. Qualified in 2019, 7 years ago. Practices with Upstate Community Medical, PC, a 152-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York and Rhode Island.

Years since qualifying
7
Licensed in
NY, RI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone: (585) 723-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 200 High Service Ave, N Providence, RI 02904-5113 — (401) 456-3000
  • 825 Chalkstone Ave, Providence, RI 02908-4728 — (401) 456-2000
  • 70 Kenyon Ave Unit 325, Wakefield, RI 02879-4253 — (401) 284-1212

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01390 (RI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 1159188 (NY)

Record details

NPI number1174167100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2019
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Upstate Community Medical, Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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