Healthcare Provider Details

I. General information

NPI: 1114847324
Provider Name (Legal Business Name): SOPHIE WILKS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6135 BARFIELD RD STE 200
SANDY SPRINGS GA
30328-4308
US

IV. Provider business mailing address

1000 JOHNSON FERRY RD
SANDY SPRINGS GA
30342-1606
US

V. Phone/Fax

Practice location:
  • Phone: 404-256-8500
  • Fax: 404-256-8506
Mailing address:
  • Phone: 404-256-8500
  • Fax: 404-256-8506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP318020
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN318020
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: