Individual provider Active NPI

Martin R Sheldon, MD

  • Internal Medicine Physician
  • Swainsboro, GA
National Provider Identifier
1104895374
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
062771 Issued in GA
Practice address
215 N Coleman St
Swainsboro, GA 30401-3530
Phone
(478) 237-2638
Fax
(478) 237-9138
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22570 SC
Internal Medicine Physician 207R00000X 264368 MA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 264368 MA
Internal Medicine Physician 207R00000X 062771 GA Primary

Addresses

Primary practice location

215 N Coleman St
Swainsboro, GA 30401-3530

Mailing address

215 N Coleman St
Swainsboro, GA 30401-3530
Phone (478) 237-2638

Other practice location 1

1315 Roberts St
Camden, SC 29020-3737
Phone (803) 432-4311

Other identifiers 3

IdentifierTypeStateIssuer
225704MedicaidSC
869000211FMedicaidGA
110104289AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100324000110 GA Practitioner - Internal Medicine 5294787925 Reassigns benefits to 1 organization
I20150929003054 MA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 5294787925 Reassigns benefits to 5 organizations

All facility ownership & control disclosures 8

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
East Georgia Healthcare Center, Inc.Reidsville, GA, CCN 111887 Federally qualified health center Corporate Officer (5%) Aug 1, 2021
East Georgia Healthcare Center, Inc.Metter, GA, CCN 111904 Federally qualified health center Corporate Officer (5%) Aug 1, 2021
East Georgia Healthcare Center, Inc.Swainsboro, GA, CCN 111830 Federally qualified health center Corporate Officer (5%) Aug 1, 2021
East Georgia Healthcare Center, Inc.Mount Vernon, GA, CCN 111919 Federally qualified health center Corporate Officer (5%) Aug 1, 2021
Statesboro Pediatrics and Family Healthcare CenterStatesboro, GA, CCN 111931 Federally qualified health center W-2 Managing Employee Aug 1, 2021
East Georgia Healthcare Center, Inc.Baxley, GA, CCN 111977 Federally qualified health center W-2 Managing Employee Aug 1, 2021
East Georgia Healthcare Center, Inc.Wadley, GA, CCN 111077 Federally qualified health center W-2 Managing Employee Aug 1, 2021
East Georgia Healthcare Center, Inc.Stillmore, GA, CCN 851172 Federally qualified health center W-2 Managing Employee (7%) Jan 24, 2022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
062771GAMDInternal Medicine Physician
22570SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Healthcare Center, Inc. CurrentSince Nov 13, 2021 Accepting new patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Nov 15, 2017 Accepting new patients
East Georgia Healthcare Center Inc CurrentSince Nov 13, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
East Georgia Healthcare Center, Inc. Current Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 23, 2017 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine Current Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Oct 23, 2017 Accepting new patients
East Georgia Healthcare Center, Inc. Past Accepting new patients
East Georgia Healthcare Center, Inc. PastSince Jun 30, 2024 Accepting new patients

Locations

1636 Hatch Pkwy S
Baxley, GA 31513
Phone (912) 705-5656

34 NW Broad St
Metter, GA 30439
Phone (912) 685-4040

118 E Broad St
Mount Vernon, GA 30445
Phone (912) 583-2277

7892 GA Highway 29
Soperton, GA 30457
Phone (478) 237-2638

1570 Brampton Ave
Statesboro, GA 30458
Phone (912) 764-9196

215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638

330 Mims Rd
Sylvania, GA 30467
Phone (912) 451-5887

257 N Main St
Wadley, GA 30477
Phone (478) 252-0027

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: msheldon202273@umassmemorial.direct-ci.com

Organizations & group practices 26

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

View all 26

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Hospice/Palliative Care, Internal Medicine
Education
University of South Carolina School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Georgia Healthcare Center, Inc. 17 clinicians

Practice addresses (Care Compare)

117 Memorial Dr
Reidsville, GA 30453-4641
Phone (912) 557-3300

118 Alice Coleman Dr
Vidalia, GA 30474-8860
Phone (912) 537-6565

118 E Broad St
Mount Vernon, GA 30445-3018
Phone (912) 583-2277

1570 Brampton Ave
Statesboro, GA 30458-0855
Phone (912) 764-9196

215 N Coleman St
Swainsboro, GA 30401-3530
Phone (478) 237-2638

257 N Main St
Wadley, GA 30477-3709
Phone (478) 252-0027

34 NW Broad St
Metter, GA 30439-4025
Phone (912) 685-4040

4357 E Louisiana Ave
Soperton, GA 30457-3661
Phone (912) 529-5533

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Vidalia, GA, CCN 117075
  • University Home Health Services Home health agency, Waynesboro, GA, CCN 117068
  • Adoration Home Health Home health agency, Vidalia, GA, CCN 117123
  • Emanuel Medical Center Hospital, Swainsboro, GA, CCN 110109

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1104895374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N COLEMAN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013530",
            "telephone_number": "478-237-2638",
            "fax_number": "478-237-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N COLEMAN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013530",
            "telephone_number": "478-237-2638",
            "fax_number": "478-237-9138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 Roberts St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290203737",
            "country_code": "US",
            "telephone_number": "803-432-4311",
            "fax_number": "803-434-3955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "MARTIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "22570",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "264368",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "264368",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "062771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225704",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "869000211F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110104289A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

Verify at the official NPI Registry.