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SOPHIA KARAS MD
NPI 1215469937
Internal Medicine - Critical Care Medicine in Macon, GA

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
777 HEMLOCK ST, MACON, GA 31201(478) 633-6272(478) 633-6269 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2025, Mar 2, 2025, May 25, 2017 and 1 more (4 updates tracked since 2017).

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

NPI1215469937
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameSOPHIA KARASCredential: MD
Location Address777 HEMLOCK STMacon, GA 31201-2102
Mailing Address777 Hemlock StMacon, GA 31201-2102 · (478) 633-6272 · Fax (478) 633-6269
Phone(478) 633-6272
Fax(478) 633-6269
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateNovember 11, 20254 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1215469937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in GA · 96913
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
777 HEMLOCK ST, Macon, GA 31201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of NC.Insurance ›

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

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.

PECOS PAC ID7012397581
PECOS Enrollment IDI20230911000363, I20250401000360
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.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
266 services102 patients

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, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Physician 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.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 20

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

LAUREN WAGNER D.O.
Pediatrics
777 HEMLOCK ST, MSC 42
MACON, GA 31201
Bibb County (478) 633-7600
AMELIA CATHERINE LLERENA
Obstetrics & Gynecology
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-6701
JO BETH ROBERTS NP
Nurse Practitioner (Pediatrics)
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-6706
RONALD KNIGHTS PHRAM. D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-1434
MR. MATTHEW MICHAEL MCCRORY AGACNP-BC
Nurse Practitioner (Acute Care)
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-1000
MRS. DENA D MCKENNA PAAA
Anesthesiologist Assistant
777 HEMLOCK ST, MSC10
MACON, GA 31201
Bibb County (478) 633-1000
LOWELL CLARK MD
Pediatrics (Pediatric Critical Care Medicine)
777 HEMLOCK ST, MSC 83
MACON, GA 31201
Bibb County (478) 633-7140
RICHARD A SCHERER CRNA
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Bibb County (866) 507-5244

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.

What insurance does Sophia Karas accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross and Blue Shield of NC 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 9 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.