SOPHIA STEPHANIE SOURLIS MD
NPI 1336889120
Student in an Organized Health Care Education/Training Program in Durham, NC

Q: What is Sophia Sourlis's NPI number?

The NPI number for Sophia Sourlis is 1336889120. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Q: What is Sophia Sourlis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sophia Sourlis was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since March 30, 2022PECOS Enrolled

2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Sophia Stephanie Sourlis Md NPPES

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

SOPHIA STEPHANIE SOURLIS MD (NPI 1336889120) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336889120

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSOPHIA STEPHANIE SOURLISCredential: MD

Location Address2301 ERWIN RDDurham, NC 27705-4699

Mailing Address2301 Erwin RdDurham, NC 27710-4699 · (919) 684-8111

Phone(919) 684-8111

Sole ProprietorNo

Enumeration DateMarch 30, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1336889120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2301 ERWIN RD, Durham, NC 27705

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Stephanie Sourlis Md 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.

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.

DR. HONGYUN JUNE ZHU M.D.

Radiology (Diagnostic Radiology)