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NICKY N SHETH M.D
NPI 1083841035
Emergency Medicine in Augusta, GA

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
1350 WALTON WAY, AUGUSTA, GA 30901(706) 774-5795(706) 774-5792 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicky N Sheth M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKY N SHETH M.D (NPI 1083841035) is an individual emergency medicine provider in Augusta, Georgia, licensed in Georgia (069923) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Orlando Health-health Central Hospital, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1083841035
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameNICKY N SHETHCredential: M.D
Location Address1350 WALTON WAYAugusta, GA 30901-2612
Mailing Address1499 Walton Way, Ste 1400Augusta, GA 30901-2602 · (706) 724-6100
Phone(706) 774-5795
Fax(706) 774-5792
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 17, 2009
Last NPPES UpdateJune 1, 2020
NPPES CertifiedJune 1, 2020
✔ NPI 1083841035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 069923
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD446277 (PA)
1350 WALTON WAY, Augusta, GA 30901
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Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-0211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicky N Sheth M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638328602
PECOS Enrollment IDI20220329000223
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
270 services129 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
118 services54 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
86 services83 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims17 services$13.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers29 claims29 services$60.22 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENOCH BUSULWA LULE M.D.
Internal Medicine
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5542
DR. MARY TANEOUS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5400
PRIYA DHARSHINI RAVINDRAN MD
Internal Medicine (Gastroenterology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5795
DR. KAILASH B SHARMA MD
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5400
MICHEL TANIOS M.D.
Internal Medicine
1350 WALTON WAY, HOSPITALISTS
AUGUSTA, GA 30901
Richmond County (706) 774-7263
FLYNT STEBBINS CONNOR M.S., CCC-SLP
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-2166
LAURA ENZ
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-2166
CANDACE M CURTIS MD
Anesthesiology
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 737-6950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicky Sheth's NPI number?

The NPI number for Nicky Sheth is 1083841035. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Nicky Sheth located?

Nicky Sheth practices at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 774-5795.

What is Nicky Sheth's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicky Sheth enrolled in Medicare?

Yes. Nicky Sheth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicky Sheth accept?

Health plans from AvMed list Nicky Sheth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicky Sheth affiliated with any hospitals?

According to CMS data, Nicky Sheth is affiliated with Orlando Health-Health Central Hospital.

When was this NPI record last updated?

The NPPES record for Nicky Sheth was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.