TALLEY S SOFIANOS (PA-C) – Medical Physician Assistant, NPI 1053652271

TALLEY S SOFIANOS (PA-C) is a healthcare provider. based in Griffin, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 006755 (GA). The NPI Number for TALLEY S SOFIANOS (PA-C) is 1053652271

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
TALLEY S SOFIANOS (PA-C)
NPI
1053652271
Phone
(678) 688-1580
Address
14557 HIGHWAY 19 STE A
Enumeration Date
13 March 2013
Last Update Date
28 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
2860838448
Group Practice PAC ID
9436211463
Professional Enrollment ID
I20240306002671
Address ID
AL352422541VE1940XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for TALLEY S SOFIANOS (PA-C)

  • 14557 HIGHWAY 19 STE A

    GRIFFIN, GA 302249582

    Phone: (678) 688-1580

    Fax: (678) 688-1594

    Type: Location

  • 8832 US HIGHWAY 90

    DAPHNE, AL 365268932

    Phone: (251) 289-1786

    Type: Location

  • 14557 Highway 19 Ste A

    Griffin, GA 302249582

    Phone: (678) 688-1580

    Fax: (678) 688-1594

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,379.

Total Amount is formed as General ($1,379) + Research ($0) + Ownership ($0) = $1,379.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($211).

Total Amount

$1,379

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,379

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240306002671IPhysician AssistantALTBD
I20260210001177IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436211463View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Physician AssistantAL
D E R M A T O L O G YAL
D E R M A T O L O G YOH
D E R M A T O L O G YAL
Emergency MedicineAL
Physician AssistantAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I use this page to confirm TALLEY S SOFIANOS (PA-C)'s NPI?
Yes. TALLEY S SOFIANOS (PA-C) is listed with NPI 1053652271 in the public NPI dataset.
Is TALLEY S SOFIANOS (PA-C) listed as active for patients and plans?
The listing shows TALLEY S SOFIANOS (PA-C) as active in the NPI system.
What taxonomy line describes TALLEY S SOFIANOS (PA-C)?
For research purposes, treat TALLEY S SOFIANOS (PA-C) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for TALLEY S SOFIANOS (PA-C)?
TALLEY S SOFIANOS (PA-C)'s geographic hint is Griffin, Georgia in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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