Active NPI
Martin R Sheldon, MD
- Internal Medicine Physician
- Swainsboro, GA
On this page
- Key facts
- NPPES NPI Registry
- Medicare participation
- All facility ownership & control disclosures8
- National Provider Directory
- Organizations & group practices26
- Hospital & facility affiliations4
- Owned or controlled facilities with NPI records8
- Care Compare profile
- NPI Registry JSON
- Other providers in Swainsboro, GA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 062771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225704 | Medicaid | SC | |
| 869000211F | Medicaid | GA | |
| 110104289A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100324000110 | GA | Practitioner - Internal Medicine | 5294787925 | Reassigns benefits to 1 organization |
| I20150929003054 | MA | Practitioner - Hospitalist | 5294787925 | Reassigns benefits to 5 organizations |
All facility ownership & control disclosures 8
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| East Georgia Healthcare Center, Inc. | Federally qualified health center | Corporate Officer (5%) | Aug 1, 2021 |
| East Georgia Healthcare Center, Inc. | Federally qualified health center | Corporate Officer (5%) | Aug 1, 2021 |
| East Georgia Healthcare Center, Inc. | Federally qualified health center | Corporate Officer (5%) | Aug 1, 2021 |
| East Georgia Healthcare Center, Inc. | Federally qualified health center | Corporate Officer (5%) | Aug 1, 2021 |
| Statesboro Pediatrics and Family Healthcare Center | Federally qualified health center | W-2 Managing Employee | Aug 1, 2021 |
| East Georgia Healthcare Center, Inc. | Federally qualified health center | W-2 Managing Employee | Aug 1, 2021 |
| East Georgia Healthcare Center, Inc. | Federally qualified health center | W-2 Managing Employee | Aug 1, 2021 |
| East Georgia Healthcare Center, Inc. | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 062771 | GA | MD | Internal Medicine Physician |
| 22570 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Georgia Healthcare Center, Inc. | Current | Accepting new patients | |
| Sound Physicians of Massachusetts II PC | Internal Medicine | Current | Accepting new patients |
| East Georgia Healthcare Center Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| East Georgia Healthcare Center, Inc. | Current | Accepting new patients | |
| Sound Physicians of Massachusetts, Inc | Internal Medicine | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts, Inc | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| East Georgia Healthcare Center, Inc. | Past | Accepting new patients | |
| East Georgia Healthcare Center, Inc. | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Swainsboro, GA
- NPI 1194569228
GA
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1306376397
Internal Medicine, MA
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1740678408
Internal Medicine, MA
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Internal Medicine, MA
-
- Federally Qualified Health Center (FQHC)
- Twin City, GA
- NPI 1568330652
-
- Federally Qualified Health Center (FQHC)
- Soperton, GA
- NPI 1558105684
-
- Federally Qualified Health Center (FQHC)
- Swainsboro, GA
- NPI 1831144971
-
- Federally Qualified Health Center (FQHC)
- Millen, GA
- NPI 1194258327
-
- Federally Qualified Health Center (FQHC)
- Claxton, GA
- NPI 1235621418
-
- Federally Qualified Health Center (FQHC)
- Wadley, GA
- NPI 1346625928
-
- Federally Qualified Health Center (FQHC)
- Sylvania, GA
- NPI 1366089062
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vidalia, GA
- NPI 1366627986
-
- Home Health Agency
- Vidalia, GA
- NPI 1265160170
-
- Home Health Agency
- Waynesboro, GA
- NPI 1467063529
Owned or controlled facilities with NPI records 8
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Wadley, GA
- NPI 1346625928
W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Stillmore, GA
- NPI 1528658911
W-2 Managing Employee
-
- Migrant Health Clinic/Center
- Baxley, GA
- NPI 1801239389
W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Reidsville, GA
- NPI 1093754905
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Mount Vernon, GA
- NPI 1487892857
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Statesboro, GA
- NPI 1821126400
W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Metter, GA
- NPI 1821270323
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Swainsboro, GA
- NPI 1831144971
Corporate Officer, W-2 Managing Employee
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- 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.
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
- University Home Health Services
- Adoration Home Health
- Emanuel Medical Center
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.