Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Sophia Delise Hackney, PA-C

Individual provider Physician Assistant · NPI 1265096424

MS. Sophia Delise Hackney, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2019, 7 years ago. Practices with Radiology and Imaging Consultants PC, a 46-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8282 S Memorial Dr Ste 106
Tulsa, OK 74133-4311
Phone: (918) 579-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3052 (OK)

Record details

NPI number1265096424
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESJune 17, 2019

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 Radiology And Imaging Consultants Pc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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