DR. GEORGE JAMES SHEPPARD III DDS
NPI 1104896265
Dentist - General Practice in Wilmington, NC
About Dr. George James Sheppard Iii Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GEORGE JAMES SHEPPARD III DDS (NPI 1104896265) is an individual general practice provider in Wilmington, North Carolina, licensed in North Carolina (5106) and active in the NPI registry since January 2006. He has opted out of Medicare through January 18, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. George James Sheppard Iii Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 18, 2016 through January 18, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28401 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILMINGTON, NC 28401
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 George Sheppard's NPI number?
The NPI number for George Sheppard is 1104896265. It was assigned to this individual provider in the NPPES registry on January 23, 2006.
Where is George Sheppard located?
George Sheppard practices at 1307 Medical Center Dr, Wilmington, NC 28401. The listed phone number is (910) 762-2809.
What is George Sheppard's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is George Sheppard enrolled in Medicare?
No. George Sheppard has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for George Sheppard was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.
# Dr. George James Sheppard III, DDS · NPI 1104896265
General Practice provider in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since January 23, 2006.
## Identity
- **NPI:** 1104896265 (Entity type: Individual)
- **Enumerated:** January 23, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 5106 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1307 MEDICAL CENTER DR, Wilmington, NC 28401-7502
- **Phone:** (910) 762-2809
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 18, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104896265) · Data from the CMS NPPES public registry.