DR. SOPHIA HELENA THEODOS MD, MPH
NPI 1194475889
Family Medicine in Charlotte, NC

Q: What is Sophia Theodos's NPI number?

The NPI number for Sophia Theodos is 1194475889. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Sophia Theodos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sophia Theodos was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment

10620 PARK RD STE 202, CHARLOTTE, NC 28210(844) 235-6999(704) 468-0089 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sophia Helena Theodos Md, Mph NPPES

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

DR. SOPHIA HELENA THEODOS MD, MPH (NPI 1194475889) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2025-00800) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2022).

NPPES Registry Identity

NPI1194475889

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SOPHIA HELENA THEODOSCredential: MD, MPH

Location Address10620 PARK RD STE 202Charlotte, NC 28210-0106

Mailing Address10620 Park Rd Ste 202Charlotte, NC 28210-0106 · Fax (704) 468-0089

Phone(844) 235-6999

Fax(704) 468-0089

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2022

Enumeration DateMarch 25, 2022

Last NPPES UpdateDecember 4, 2025

NPPES CertifiedDecember 4, 2025

✔ NPI 1194475889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2025-00800

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.

10620 PARK RD STE 202, Charlotte, NC 28210

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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 and accepts Medicare assignment

Dr. Sophia Helena Theodos Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325428097

PECOS Enrollment IDI20251106005126, I20251125004782

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 28210 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 18

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

CAROLINAS PHYSICIANS NETWORK INC

Family Medicine