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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 Cornelius, NC

Active since April 04, 2023PECOS EnrolledAccepts Medicare Assignment
19475 OLD JETTON RD STE 200, CORNELIUS, NC 28031(704) 316-5136(704) 316-2455 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, Jul 18, 2023, Apr 4, 2023 (3 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 Cornelius, North Carolina, licensed in North Carolina (2025-00191) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215632682
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOFIA GKOULGKOUNTINACredential: DO
Location Address19475 OLD JETTON RD STE 200Cornelius, NC 28031-6591
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 316-5136
Fax(704) 316-2455
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1215632682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RTL23-0521 (NC)
19475 OLD JETTON RD STE 200, Cornelius, NC 28031
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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

Sofia Gkoulgkountina Do 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 ID3678932316
PECOS Enrollment IDI20250821004872
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28031 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 13

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

LAUREN SIMONE SUMMERS MD
Student in an Organized Health Care Education/Training Program
19475 OLD JETTON RD STE 200
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
ALEXANDRA KAMIENIECKI MD
Student in an Organized Health Care Education/Training Program
19475 OLD JETTON RD STE 200
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
DR. ALEXA ELIZABETH SCHMITZ
Student in an Organized Health Care Education/Training Program
19475 OLD JETTON RD STE 200
CORNELIUS, NC 28031
Mecklenburg County (704) 384-1775
DR. HALEY CELESTE CRAIG-KOVACH DO
Student in an Organized Health Care Education/Training Program
19475 OLD JETTON RD STE 200
CORNELIUS, NC 28031
Mecklenburg County (704) 384-1775
ANDREW CURTIS BRACKINS DO
Student in an Organized Health Care Education/Training Program
19475 OLD JETTON RD STE 200
CORNELIUS, NC 28031
Mecklenburg County (704) 384-1775
TYLER MARTIN WEST MD
Family Medicine
19475 OLD JETTON RD STE 200
CORNELIUS, NC 28031
Mecklenburg County (704) 384-1775
AMAAD ALI CHOUDRY DO
Student in an Organized Health Care Education/Training Program
19475 OLD JETTON RD STE 200
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
ALESSANDRA GIOVANNA TOZZI
Student in an Organized Health Care Education/Training Program
19475 OLD JETTON RD STE 200
CORNELIUS, NC 28031
Mecklenburg County (704) 384-1775

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 19475 Old Jetton Rd Ste 200, Cornelius, NC 28031. The listed phone number is (704) 316-5136.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sofia Gkoulgkountina affiliated with any hospitals?

According to CMS data, Sofia Gkoulgkountina is affiliated with Novant Health Presbyterian Medical Center and Novant Health Huntersville Medical Center.

When was this NPI record last updated?

The NPPES record for Sofia Gkoulgkountina was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.