DR. SOPHIA D GOODRIDGE (M.D.) – Urology Physician, NPI 1255690905

DR. SOPHIA D GOODRIDGE (M.D.) is a healthcare provider. based in Roswell, Georgia. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 52077 (KY). The NPI Number for DR. SOPHIA D GOODRIDGE (M.D.) is 1255690905

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. SOPHIA D GOODRIDGE (M.D.)
NPI
1255690905
Phone
(470) 956-4230
Address
2500 HOSPITAL BLVD STE 290
Enumeration Date
15 May 2012
Last Update Date
10 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
7704248222
Graduation Year
2012 (14 years ago)
PAC ID
6709166440
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20190719000894
Address ID
GA301527742KE5150XRDXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

171 UROLOGY in CT

Provider Addresses for DR. SOPHIA D GOODRIDGE (M.D.)

  • 2500 HOSPITAL BLVD STE 290

    ROSWELL, GA 300764918

    Phone: (470) 956-4230

    Type: Mailing

  • 20 York Street T-209

    Yale New Haven Hospital

    New Haven, CT 065103220

    Phone: (203) 688-2259

    Fax: (203) 688-5599

    Type: Location

  • 60 Bryan Blvd

    Corbin, KY 407012779

    Phone: (606) 528-1172

    Fax: (606) 528-7169

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,131.

Total Amount is formed as General ($1,131) + Research ($0) + Ownership ($0) = $1,131.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Medtronic, Inc. ($211).

Total Amount

$1,131

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,131

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2019-07-19

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
I20190211000592IUrologyKYTBD
I20190719000894IUrologyGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test244139$0
99214Established patient office or other outpatient visit, 30-39 minutes195121$0
99204New patient office or other outpatient visit, 45-59 minutes9191$0
51798Ultrasound measurement of bladder capacity after voiding8777$0
99213Established patient office or other outpatient visit, 20-29 minutes4741$0
View full utilization report →

Insurance plans in this area (ZIP 30076)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SOPHIA D GOODRIDGE (M.D.)?
DR. SOPHIA D GOODRIDGE (M.D.) — NPI 1255690905 — is the standard way to identify this listing.
Does CMS list DR. SOPHIA D GOODRIDGE (M.D.) as active?
Yes — DR. SOPHIA D GOODRIDGE (M.D.) is active in the NPI listing used on this page.
What is DR. SOPHIA D GOODRIDGE (M.D.)'s primary classification?
Urology Physician is the headline specialty for DR. SOPHIA D GOODRIDGE (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. SOPHIA D GOODRIDGE (M.D.) based?
DR. SOPHIA D GOODRIDGE (M.D.) is tied to Roswell, Georgia in the data we show; additional addresses may exist on the full record.
Why does DR. SOPHIA D GOODRIDGE (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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