SOPHIA GAVGANI MCLAUGHLIN DNP
NPI 1780334268
Nurse Practitioner - Adult Health in High Point, NC

Active since March 27, 2022PECOS Enrolled
707 N ELM ST, HIGH POINT, NC 27262(336) 885-0141 Get Directions Write a Review

NPPES record last updated: March 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sophia Gavgani Mclaughlin Dnp NPPES

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

SOPHIA GAVGANI MCLAUGHLIN DNP (NPI 1780334268) is an individual adult health provider in High Point, North Carolina, licensed in North Carolina (5015968) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780334268
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSOPHIA GAVGANI MCLAUGHLINCredential: DNP
Location Address707 N ELM STHigh Point, NC 27262-3917
Mailing Address265 Brookview Centre Way Ste 400Knoxville, TN 37919-4052
Sole ProprietorYes
Enumeration DateMarch 27, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1780334268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 5015968
707 N ELM ST, High Point, NC 27262

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Gavgani Mclaughlin Dnp 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 Sophia Mclaughlin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
635 STATESVILLE BLVD
Salisbury, NC 28144
  • Reassigned Medicare billing, North Carolina enrollment
  • 18 clinicians in this Medicare group
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, North Carolina enrollment
  • 181 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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
107 services40 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
64 services28 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
64 services32 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
30 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27262 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.

Physical Therapy Assistant
707 N ELM ST
HIGH POINT, NC 27262
Occupational Therapy Assistant
707 N ELM ST
HIGH POINT, NC 27262
Occupational Therapy Assistant
707 N ELM ST
HIGH POINT, NC 27262
Occupational Therapy Assistant
707 N ELM ST
HIGH POINT, NC 27262
Behavior Technician
707 N ELM ST
HIGH POINT, NC 27262
Occupational Therapy Assistant
707 N ELM ST
HIGH POINT, NC 27262
Physical Therapy Assistant
707 N ELM ST
HIGH POINT, NC 27262
Occupational Therapy Assistant
707 N ELM ST
HIGH POINT, NC 27262

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 Mclaughlin's NPI number?

The NPI number for Sophia Mclaughlin is 1780334268. It was assigned to this individual provider in the NPPES registry on March 27, 2022.

Where is Sophia Mclaughlin located?

Sophia Mclaughlin practices at 707 N Elm St, High Point, NC 27262. The listed phone number is (336) 885-0141.

What is Sophia Mclaughlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sophia Mclaughlin enrolled in Medicare?

Yes. Sophia Mclaughlin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sophia Mclaughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Mclaughlin reassigns Medicare benefits to 2 organizations: Longevity Accountable Care, PA (Salisbury, NC) and Cs Pacs 3 Southeast, LLC (Bluefield, WV). 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 Mclaughlin'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 Sophia Mclaughlin was last updated on March 27, 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.