Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Talley S Sofianos, PA-C

Individual provider Medical Physician Assistant · NPI 1053652271

Talley S Sofianos, PA-C is a Physician Assistant in Daphne, Alabama. Qualified in 2012, 14 years ago. Practices with Aqua Dermatology of Alabama PC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

8832 US Highway 90
Daphne, AL 36526-8932
Phone: (251) 289-1786
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14557 Highway 19 Ste A, Griffin, GA 30224-9582 — (678) 688-1580

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006755 (GA)

Record details

NPI number1053652271
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 13, 2013
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address14557 Highway 19 Ste A, Griffin, GA 30224-9582

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Aqua Dermatology Of Alabama Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Daphne