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SOPHIA BLOUNT NP
NPI 1235920281
Nurse Practitioner - Gerontology in Durham, NC

Active since May 16, 2025PECOS EnrolledAccepts Medicare Assignment
5306 NC HIGHWAY 55 STE 105, DURHAM, NC 27713(877) 279-5960(919) 390-0018 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2025, Jun 16, 2025, May 30, 2025 and 1 more (4 updates tracked since 2025).

About Sophia Blount Np NPPES

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

SOPHIA BLOUNT NP (NPI 1235920281) is an individual gerontology provider in Durham, North Carolina, licensed in North Carolina (5022320) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235920281
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSOPHIA BLOUNTCredential: NP
Location Address5306 NC HIGHWAY 55 STE 105Durham, NC 27713-7812
Mailing Address5306 Nc Highway 55 Ste 105Durham, NC 27713-7812 · (877) 279-5960 · Fax (919) 390-0018
Phone(877) 279-5960
Fax(919) 390-0018
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 16, 2025
Last NPPES UpdateNovember 21, 20254 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1235920281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NC · 5022320
5306 NC HIGHWAY 55 STE 105, Durham, NC 27713
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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 Blount Np 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 ID1951814607
PECOS Enrollment IDI20250627000049
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 Sophia Blount reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Curana Health Of North Carolina PLLC
11 mi
Internal Medicine
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 338 clinicians in this Medicare group
NPI 1770217176 (337) 408-0797
Physicians Eldercare PA
11 mi
General Practice
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 365 clinicians in this Medicare group
NPI 1023083268 (337) 991-9276

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 27713 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 20

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

PHYSICIANS ELDERCARE PA
General Practice
5306 NC HIGHWAY 55 STE 105
DURHAM, NC 27713
Durham County (337) 991-9276
CHANDRA NEKEYA REYNOLDS LCSW
Social Worker (Clinical)
5306 NC HIGHWAY 55 STE 105
DURHAM, NC 27713
Durham County (919) 457-1517
MS. YI LU PA-C
Physician Assistant
5306 NC HIGHWAY 55 STE 105
DURHAM, NC 27713
Durham County (919) 646-4858
REBEKAH LYNN WILLIAMS LCSW
Social Worker (Clinical)
5306 NC HIGHWAY 55 STE 105
DURHAM, NC 27713
Durham County (919) 457-1517
GERARDO E ARNAEZ ZAPATA MD
Internal Medicine
5306 NC HIGHWAY 55 STE 105
DURHAM, NC 27713
Durham County (337) 991-9276
DR. MARNIE SHOTWELL DNP, AGPCNP-BC
Nurse Practitioner (Primary Care)
5306 NC HIGHWAY 55 STE 105
DURHAM, NC 27713
Durham County (337) 991-9276
CATHLEEN MEDELLIN
Nurse Practitioner (Family)
5306 NC HIGHWAY 55 STE 105
DURHAM, NC 27713
Durham County (337) 991-9276
DR. KAREN WEBB BENNETT PHD, RD, MSN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5306 NC HIGHWAY 55 STE 105
DURHAM, NC 27713
Durham County (919) 457-1517

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 Blount's NPI number?

The NPI number for Sophia Blount is 1235920281. It was assigned to this individual provider in the NPPES registry on May 16, 2025.

Where is Sophia Blount located?

Sophia Blount practices at 5306 Nc Highway 55 Ste 105, Durham, NC 27713. The listed phone number is (877) 279-5960.

What is Sophia Blount's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sophia Blount enrolled in Medicare?

Yes. Sophia Blount 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 Blount's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Blount reassigns Medicare benefits to 2 organizations: Curana Health Of North Carolina PLLC (Durham, NC) and Physicians Eldercare PA (Durham, 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 Blount's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Blount accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Sophia Blount 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.

When was this NPI record last updated?

The NPPES record for Sophia Blount was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.