SOPHIA L MCINTYRE (M.D) – Family Medicine Physician, NPI 1063413805
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
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Provider Addresses for SOPHIA L MCINTYRE (M.D)
3707, Largent Way, Marietta, Cobb, Georgia, 30064, United States
MARIETTA, GA 300645981
Phone: (678) 581-5729
Fax: (678) 581-5835
Type: Location
23 Lakewood Ave
Hudson River HealthCare, Inc.
Monticello, NY 127012021
Phone: (845) 794-2010
Fax: (845) 794-4569
Type: Location
3707 Largent Way NW
Marietta, GA 300645981
Phone: (678) 581-5729
Fax: (678) 581-5835
Type: Location
650 NORTH AVE NE STE S204
ATLANTA, GA 303082705
Phone: (888) 663-6331
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-08-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070828000229 | I | Family Practice | NY | TBD |
| I20200821000777 | I | Family Practice | GA | TBD |
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.
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 30064)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Physician Assistant | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| Physician Assistant | CA | |
| Physician Assistant | GA | |
| Physician Assistant | MA | |
| Physician Assistant | NY | |
| Physician Assistant | GA | |
| Family Practice | SC |
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