MARTIN R SHELDON MD
NPI 1104895374
Internal Medicine in Swainsboro, GA

Q: 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.

Q: What is Martin Sheldon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: 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.

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment

215 N COLEMAN ST, SWAINSBORO, GA 30401(478) 237-2638(478) 237-9138 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2022, Sep 28, 2021, Oct 28, 2020 (3 updates tracked since 2020).

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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

NPI1104895374

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMARTIN R SHELDONCredential: MD

Location Address215 N COLEMAN STSwainsboro, GA 30401-3530

Mailing Address215 N Coleman StSwainsboro, GA 30401-3530 · (478) 237-2638 · Fax (478) 237-9138

Phone(478) 237-2638

Fax(478) 237-9138

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2000

Enumeration DateMarch 17, 2006

Last NPPES UpdateFebruary 3, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1104895374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in GA · 062771✔ Licensed in SC · 22570✔ Licensed in MA · 264368

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 264368 (MA)

215 N COLEMAN ST, Swainsboro, GA 30401

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Secondary Practice Location 1

Location 11315 Roberts StCamden, SC 29020-3737 · Phone (803) 432-4311 · Fax (803) 434-3955

Other Identifiers 3

Medicaid110104289AMA

Medicaid225704SC

Medicaid869000211FGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

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.

PECOS PAC ID5294787925

PECOS Enrollment IDI20150929003054

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 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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

132 services75 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

33 services13 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

30 services21 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

21 services18 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

20 services16 patients

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, GA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110109

Location117 Kite RoadSwainsboro, GA 30401 · Emanuel County

Emergency services

Physician 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.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

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.

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.

CHELSEA HAYMAN DNP, APRN, FNP-BC

Nurse Practitioner (Family)