SOPHIA KARAS MD
NPI 1215469937
Internal Medicine - Critical Care Medicine in Macon, GA
About Sophia Karas Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA KARAS MD (NPI 1215469937) is an individual critical care medicine provider in Macon, Georgia, licensed in Georgia (96913) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sophia Karas Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Sophia Karas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 483 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 466 clinicians in this Medicare group
Charlotte, NC 28210
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Lexington, NC 27295
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Navicent The Medical Center
Acute Care Hospitals · Macon, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACON, GA 31201
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 Sophia Karas's NPI number?
The NPI number for Sophia Karas is 1215469937. It was assigned to this individual provider in the NPPES registry on March 31, 2017.
Where is Sophia Karas located?
Sophia Karas practices at 777 Hemlock St, Macon, GA 31201. The listed phone number is (478) 633-6272.
What is Sophia Karas's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Sophia Karas enrolled in Medicare?
Yes. Sophia Karas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sophia Karas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Karas reassigns Medicare benefits to 4 organizations: Health Services Of Central Georgia, Inc (Macon, GA), Northside Primary Care Professional Services,llc (Atlanta, GA), Carolinas Medical Center (Charlotte, NC) and Wake Forest University Health Sciences (Lexington, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Karas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sophia Karas accept?
Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. list Sophia Karas 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.
Is Sophia Karas affiliated with any hospitals?
According to CMS data, Sophia Karas is affiliated with Atrium Health Navicent The Medical Center.
When was this NPI record last updated?
The NPPES record for Sophia Karas was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Sophia Karas, MD · NPI 1215469937
Critical Care Medicine physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since March 31, 2017.
## Identity
- **NPI:** 1215469937 (Entity type: Individual)
- **Enumerated:** March 31, 2017
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 96913 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 HEMLOCK ST, Macon, GA 31201-2102
- **Phone:** (478) 633-6272 · **Fax:** (478) 633-6269
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Health Services Of Central Georgia, Inc (NPI 1184679482, Macon, GA); Northside Primary Care Professional Services,llc (NPI 1922397553, Atlanta, GA); Carolinas Medical Center (NPI 1578086187, Charlotte, NC); Wake Forest University Health Sciences (NPI 1639454499, Lexington, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** November 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215469937) · Data from the CMS NPPES public registry.