Individual provider Active NPI

Kevin James Sheahan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Newnan, GA
National Provider Identifier
1902900582
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
035332 Issued in GA
Practice address
745 Poplar Rd
Newnan, GA 30265-1618
Phone
(516) 945-3000
Fax
(704) 248-5537
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 035332 GA
Pain Medicine Physician 208VP0000X 035332 GA
Pain Medicine (Anesthesiology) Physician 207LP2900X 035332 GA Primary

Addresses

Primary practice location

745 Poplar Rd
Newnan, GA 30265-1618

Mailing address

PO Box 945384
Atlanta, GA 30394-5384
Phone (516) 945-3000

Other practice location 1

1150 Hammond Dr Bldg E40
Atlanta, GA 30328
Phone (770) 558-8501

Other practice location 2

2727 Paces Ferry Rd SE Ste 300
Atlanta, GA 30339-4053
Phone (516) 945-3000

Other identifiers 2

IdentifierTypeStateIssuer
035332OtherGALICENSE
23251OtherGAAMERICAN BOARD OF ANESTHESIOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000393 GA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3072505502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Medical College of Georgia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131

745 Poplar Rd
Newnan, GA 30265-1618
Phone (404) 351-1745

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035332GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Pain Care,P.C. CurrentSince Jun 1, 2023 Accepting new patients
Southern Crescent Anesthesiology, PC Anesthesiology CurrentSince Apr 2, 2004 Accepting new patients
Piedmont Anesthesia Associates, L.L.C Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince May 1, 2025 Accepting new patients
Southeastern Pain Specialists, P.C. Pain Medicine Past Accepting new patients
Southern Pain and Spine Associates LLC PastSince May 16, 2022 Accepting new patients
Southeastern Pain Consultants Anesthesiology Past Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

7351 Old Moon Rd
Columbus, GA 31909
Phone (706) 221-2721

49 Gordon Rd
Ste 101
Jasper, GA 30143
Phone (678) 866-3637

3231 Highway 34 E
Ste C
Newnan, GA 30265
Phone (770) 251-8940

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

3150 Highway 34 E
Newnan, GA 30265
Phone (770) 254-3035

3150 Highway 34 E
#195
Newnan, GA 30265

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

240 Heritage Walk
#101A
Woodstock, GA 30188
Phone (770) 516-7880

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDDFAA
  • FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1902900582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 945384",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303945384",
            "telephone_number": "516-945-3000",
            "fax_number": "704-248-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 POPLAR RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651618",
            "telephone_number": "516-945-3000",
            "fax_number": "704-248-5537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Hammond Dr Bldg E40",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30328",
            "country_code": "US",
            "telephone_number": "770-558-8501",
            "fax_number": "770-558-8512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 Paces Ferry Rd SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303394053",
            "country_code": "US",
            "telephone_number": "516-945-3000",
            "fax_number": "704-248-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEAHAN",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "035332",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "035332",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "035332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "035332",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF ANESTHESIOLOGY",
            "identifier": "23251",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.