Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOFIA GKOULGKOUNTINA DO
NPI 1215632682
Family Medicine in Wesley Chapel, NC

Active since April 04, 2023PECOS Enrolled
6480 WEDDINGTON RD, WESLEY CHAPEL, NC 28104(704) 316-5650(704) 316-5651 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Aug 4, 2026, Jul 18, 2023 and 1 more (4 updates tracked since 2023).

About Sofia Gkoulgkountina Do NPPES

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

SOFIA GKOULGKOUNTINA DO (NPI 1215632682) is an individual family medicine provider in Wesley Chapel, North Carolina, licensed in North Carolina (2025-00191) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cornelius.

NPPES Registry Identity

NPI1215632682
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOFIA GKOULGKOUNTINACredential: DO
Location Address6480 WEDDINGTON RDWesley Chapel, NC 28104-6277
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(704) 316-5651
Sole ProprietorYes
Enumeration DateApril 4, 2023
Last NPPES UpdateOctober 5, 20264 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1215632682 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 · 2025-00191
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.
6480 WEDDINGTON RD, Wesley Chapel, NC 28104

Secondary Practice Location 1

Location 119475 Old Jetton Rd Ste 200Cornelius, NC 28031-6591 · Phone (704) 316-5136 · Fax (704) 316-2455

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sofia Gkoulgkountina Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sofia Gkoulgkountina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
6480 WEDDINGTON ROAD
Wesley Chapel, NC 28104
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
Infectious Disease
2085 FRONTIS PLAZA BLVD
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 164 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28104 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.

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 Sofia Gkoulgkountina's NPI number?

The NPI number for Sofia Gkoulgkountina is 1215632682. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Sofia Gkoulgkountina located?

Sofia Gkoulgkountina practices at 6480 Weddington Rd, Wesley Chapel, NC 28104. The listed phone number is (704) 316-5650.

What is Sofia Gkoulgkountina's specialty?

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

Is Sofia Gkoulgkountina enrolled in Medicare?

Yes. Sofia Gkoulgkountina is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sofia Gkoulgkountina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Gkoulgkountina reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Wesley Chapel, NC) and Nh Digital Health Services, LLC (Winston Salem, 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 Sofia Gkoulgkountina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sofia Gkoulgkountina was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.