Scott A Sheldon, MD
Individual provider Active NPI Internal Medicine Physician · Winston Salem, NC
NPI 1265475685 · NPPES record last updated May 5, 2022
Key facts
- NPI
- 1265475685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 200100779 (NC)
- Practice address
- 4692 Brownsboro Rd
Physicians Eldercare, PA
Winston Salem, NC 27106-3410 - Phone
- (336) 251-1114
- Fax
- (336) 251-1115
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 14
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Mercer University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Curana Health of North Carolina PLLC
Practice addresses (Care Compare)
4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Phone (337) 991-9276
Hospital & facility affiliations
- Trellis Supportive Care
- Hospice of Davidson County/ Hinkle Hospice House
- North Carolina Baptist Hospital
- Novant Health Thomasville Medical Center
- Novant Health Forsyth Medical Center
- Lexington Memorial Hospital Inc
- Brookridge Retirement Community
- Davidson Health & Rehab Center
- Piedmont Crossing
- The Gardens of Taylor Glen Retirement Community
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Piedmont Crossing |
Skilled nursing facility | Adp of the SNF | May 1, 2026 |
| The Huntington National Bank |
Skilled nursing facility | Adp of the SNF | Dec 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100213000037 | NC | Practitioner - Internal Medicine |
2860432168 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Eldercare PA | Current |
Accepting new patients | |
| Curana Health of North Carolina PLLC | Internal Medicine | Current |
Accepting new patients |
| Davidson Health & Rehab Center, LLC | Past |
Accepting new patients | |
| Baptist Retirement Homes of North Carolina Incorporated | Past | Accepting new patients |
Locations
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 200100779 | NC | |
| Internal Medicine Physician | 207R00000X | 200100779 | NC | Yes |
Addresses
Primary practice location
4692 Brownsboro Rd
Physicians Eldercare, PA
Winston Salem, NC 27106-3410
Mailing address
4692 Brownsboro Rd
Physicians Eldercare, PA
Winston Salem, NC 27106-3410
Phone (336) 251-1114
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00345272 | Other | GA | RR MEDICARE |
| 145026 | Other | GA | BCBS |
| HOSP60 | Other | GA | MEDICARE GROUP |
| CN0368 | Other | GA | RR MEDICARE GROUP |
| 10063298 | Other | GA | AMERIGROUP |
| 374872 | Other | GA | WELLCARE |
| 503998724A | Medicaid | GA |
NPI Registry JSON
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1265475685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4692 BROWNSBORO RD",
"address_2": "PHYSICIANS ELDERCARE, PA",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063410",
"telephone_number": "336-251-1114",
"fax_number": "336-251-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4692 BROWNSBORO RD",
"address_2": "PHYSICIANS ELDERCARE, PA",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063410",
"telephone_number": "336-251-1114",
"fax_number": "336-251-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELDON",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NC",
"license": "200100779",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200100779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00345272",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "145026",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "HOSP60",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CN0368",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10063298",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "374872",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "503998724A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
- Hiba Ikram Sheikh
- Shekinah Resource Foundation
- David M Shelburne
- Tiffini Anne Sheldon-Morris
- Rebecca Gardner Sheldon
- Amelia Dawn Shell
- Kellie Breawn Shell
- Tonja Rene Shell
- Latoshia Shells
- Shelton Movement and Performance
All providers in Winston Salem, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.