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SOPHIA SAIFEE MD
NPI 1851543086
Internal Medicine in Douglasville, GA

Active since October 21, 2008PECOS EnrolledAccepts Medicare Assignment
6025 PROFESSIONAL PKWY STE 200, DOUGLASVILLE, GA 30134(770) 949-0555(770) 949-4424 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sophia Saifee Md NPPES

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

SOPHIA SAIFEE MD (NPI 1851543086) is an individual internal medicine provider in Douglasville, Georgia, licensed in Georgia (061515) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1851543086
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSOPHIA SAIFEECredential: MD
Location Address6025 PROFESSIONAL PKWY STE 200Douglasville, GA 30134-5610
Mailing Address6025 Professional Pkwy Ste 200Douglasville, GA 30134-5610 · (770) 949-0555 · Fax (770) 949-4424
Phone(770) 949-0555
Fax(770) 949-4424
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 21, 2008
Last NPPES UpdateMarch 26, 2018
✔ NPI 1851543086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 061515
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6025 PROFESSIONAL PKWY STE 200, Douglasville, GA 30134
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Other Names 1

Former Name (1)Sophia Zafar

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Sophia Saifee Md 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 ID9638238645
PECOS Enrollment IDI20081105000822
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%76 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%75 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

MS. TOMMIE JOANN FLOYD A.P.N.
Nurse Practitioner (Family)
6025 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA 30134
Douglas County (770) 949-0555
DESAI & SHROFF MEDICAL
Internal Medicine
6025 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA 30134
Douglas County (770) 949-0555
THE FAMILY HEALTH CENTERS OF GEORGIA, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
6025 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA 30134
Douglas County (404) 752-1400
DR. YELENA RANIKA MAKORI M.D.
Internal Medicine
6025 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA 30134
Douglas County (770) 949-0555

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 Saifee's NPI number?

The NPI number for Sophia Saifee is 1851543086. It was assigned to this individual provider in the NPPES registry on October 21, 2008. The provider is also known as Sophia Zafar.

Where is Sophia Saifee located?

Sophia Saifee practices at 6025 Professional Pkwy Ste 200, Douglasville, GA 30134. The listed phone number is (770) 949-0555.

What is Sophia Saifee's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sophia Saifee enrolled in Medicare?

Yes. Sophia Saifee 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.

What insurance does Sophia Saifee accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sophia Saifee 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.

Is Sophia Saifee affiliated with any hospitals?

According to CMS data, Sophia Saifee is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Sophia Saifee was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.