Individual provider Active NPI

Sophia Kouros Sarris, RN, BSN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Decatur, GA
National Provider Identifier
1548776586
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
102442 Issued in GA
Practice address
235 E Ponce de Leon Ave Ste 345
Decatur, GA 30030-5801
Phone
(404) 449-5595
Fax
(833) 269-3532
NPI assigned
Dec 27, 2017
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 102442 GA Primary

Addresses

Primary practice location

235 E Ponce de Leon Ave Ste 345
Decatur, GA 30030-5801

Mailing address

2775 Northbrook Dr
Atlanta, GA 30340-4923
Phone (404) 449-5955

Other practice location 1

2775 Northbrook Dr
Atlanta, GA 30340-4923
Phone (404) 449-5955

Other names 1

  • Sophia Katina Sarris Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
102442GAMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderlove Lactation Services Lactation Consultant CurrentSince Feb 18, 2024 Accepting new patients

Locations

1285 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 893-7550

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1548776586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 NORTHBROOK DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404923",
            "telephone_number": "404-449-5955",
            "fax_number": "833-269-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE STE 345",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305801",
            "telephone_number": "404-449-5595",
            "fax_number": "833-269-3532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 Northbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303404923",
            "country_code": "US",
            "telephone_number": "404-449-5955",
            "fax_number": "833-269-3532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARRIS",
        "first_name": "SOPHIA",
        "middle_name": "KOUROS",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "102442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "SARRIS",
            "middle_name": "KATINA",
            "credential": "RN, BSN, IBCLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.