MARTIN R SHELDON MD
NPI 1104895374
Internal Medicine in Swainsboro, GA
About Martin R Sheldon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTIN R SHELDON MD (NPI 1104895374) is an individual internal medicine provider in Swainsboro, Georgia, licensed in Georgia (062771) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Emanuel Medical Center, and maintains a secondary practice location in Camden.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Martin R Sheldon Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Martin Sheldon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Swainsboro, GA 30401
- Reassigned Medicare billing, Georgia enrollment
- 46 clinicians in this Medicare group
Holyoke, MA 01040
- Reassigned Medicare billing, Massachusetts enrollment
- 337 clinicians in this Medicare group
Oxford, MA 01540
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Brockton, MA 02301
- Reassigned Medicare billing, Massachusetts enrollment
- 173 clinicians in this Medicare group
Watertown, MA 02472
- Reassigned Medicare billing, Massachusetts enrollment
- 1,103 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emanuel Medical Center
Acute Care Hospitals · Swainsboro, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Martin Sheldon's NPI number?
The NPI number for Martin Sheldon is 1104895374. It was assigned to this individual provider in the NPPES registry on March 17, 2006.
Where is Martin Sheldon located?
Martin Sheldon practices at 215 N Coleman St, Swainsboro, GA 30401. The listed phone number is (478) 237-2638.
What is Martin Sheldon's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Martin Sheldon enrolled in Medicare?
Yes. Martin Sheldon 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.
Which organizations bill Medicare for Martin Sheldon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martin Sheldon reassigns Medicare benefits to 5 organizations: East Georgia Healthcare Center, Inc. (Swainsboro, GA), Sound Physicians Of Massachusetts, Inc (Holyoke, MA), Umass Memorial Medical Group, Inc. (Oxford, MA), Sound Physicians Of Massachusetts II PC (Brockton, MA) and Steward Medical Group, Inc (Watertown, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Sheldon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Martin Sheldon accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Martin Sheldon 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 Martin Sheldon affiliated with any hospitals?
According to CMS data, Martin Sheldon is affiliated with Emanuel Medical Center.
When was this NPI record last updated?
The NPPES record for Martin Sheldon was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Martin R Sheldon, MD · NPI 1104895374
Internal Medicine physician in Swainsboro, Georgia. Individual provider, active in the CMS NPPES registry since March 17, 2006.
## Identity
- **NPI:** 1104895374 (Entity type: Individual)
- **Enumerated:** March 17, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 062771 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 215 N COLEMAN ST, Swainsboro, GA 30401-3530
- **Phone:** (478) 237-2638 · **Fax:** (478) 237-9138
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): East Georgia Healthcare Center, Inc. (NPI 1831144971, Swainsboro, GA); Sound Physicians Of Massachusetts, Inc (NPI 1184178386, Holyoke, MA); Umass Memorial Medical Group, Inc. (NPI 1982381018, Oxford, MA); Sound Physicians Of Massachusetts II PC (NPI 1306376397, Brockton, MA); Steward Medical Group, Inc (NPI 1629398219, Watertown, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Carolina School Of Medicine, class of 2000
## Record status
- **NPPES last updated:** February 3, 2022
- **Other identifiers:** Medicaid 110104289A (MA); Medicaid 225704 (SC); Medicaid 869000211F (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104895374) · Data from the CMS NPPES public registry.