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SOPHIRE MARIE NELSON
NPI 1992278519
Social Worker - Clinical in Charlotte, NC

Active since January 07, 2019PECOS EnrolledAccepts Medicare Assignment
5820 E W T HARRIS BLVD STE 109, CHARLOTTE, NC 28215(704) 269-8263 Get Directions Write a Review

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

About Sophire Marie Nelson NPPES

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

SOPHIRE MARIE NELSON (NPI 1992278519) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C018260) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992278519
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSOPHIRE MARIE NELSON
Location Address5820 E W T HARRIS BLVD STE 109Charlotte, NC 28215-3600
Mailing Address1512 Ridgewood AveGreensboro, NC 27405-5740 · (252) 521-2309
Phone(704) 269-8263
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 7, 2019
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1992278519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C018260
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5820 E W T HARRIS BLVD STE 109, Charlotte, NC 28215
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.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

Sophire Marie Nelson 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 ID6002334331
PECOS Enrollment IDI20250520001076
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 Sophire Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Counseling And Development
73 mi
Mental Health (Including Community Mental Health Center)
4917 PIEDMONT PKWY STE 103D
Jamestown, NC 27282
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1548770480 (336) 442-5458
Grow Healthcare Group PA
651 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina enrollment
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 28215 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
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 5

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

TEADORA SEIDORF MSW, LCSWA
Social Worker (Clinical)
5820 E W T HARRIS BLVD STE 109
CHARLOTTE, NC 28215
Mecklenburg County (704) 269-8263
LUCRATIVE TRANSPORTATION SOLUTIONS INC
Non-emergency Medical Transport (VAN)
5820 E W T HARRIS BLVD STE 109
CHARLOTTE, NC 28215
Mecklenburg County (704) 241-3730
SHANEQUA SHEREE SPENCER LMFT
Marriage & Family Therapist
5820 E W T HARRIS BLVD STE 109
CHARLOTTE, NC 28215
Mecklenburg County (704) 269-8263
TEACHING, LOVE & CARE COUNSELING SERVICES
Counselor
5820 E W T HARRIS BLVD STE 109
CHARLOTTE, NC 28215
Mecklenburg County (704) 269-8263
SAMANTHA SIEGEL MPH, RDN
Dietitian, Registered
5820 E W T HARRIS BLVD STE 109, #233
CHARLOTTE, NC 28215
Mecklenburg County (727) 692-3980

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 Sophire Nelson's NPI number?

The NPI number for Sophire Nelson is 1992278519. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

Where is Sophire Nelson located?

Sophire Nelson practices at 5820 E W T Harris Blvd Ste 109, Charlotte, NC 28215. The listed phone number is (704) 269-8263.

What is Sophire Nelson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sophire Nelson enrolled in Medicare?

Yes. Sophire Nelson 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 Sophire Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophire Nelson reassigns Medicare benefits to 2 organizations: Piedmont Counseling And Development (Jamestown, NC) and Grow Healthcare Group PA (Miami, FL). 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 Sophire Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophire Nelson accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Sophire Nelson 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 Sophire Nelson was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.