Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SHEILA R BEHUNIN
NPI 1205417250
Nurse Practitioner - Family in East Ellijay, GA

Active since April 20, 2021PECOS Enrolled
25 HIGHLAND XING S, EAST ELLIJAY, GA 30540(334) 689-4025 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2026, Sep 13, 2022, Apr 20, 2021 (3 updates tracked since 2021).

About Sheila R Behunin NPPES

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

SHEILA R BEHUNIN (NPI 1205417250) is an individual family provider in East Ellijay, Georgia, licensed in Georgia (GAA-NP005486) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205417250
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHEILA R BEHUNIN
Location Address25 HIGHLAND XING SEast Ellijay, GA 30540-2394
Mailing Address1500 1st Ave N Unit 3Birmingham, AL 35203-1866
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 20, 2021
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
NPI 1205417250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in GA · GAA-NP005486 Licensed in UT · 352187-4405
25 HIGHLAND XING S, East Ellijay, GA 30540

Secondary Practice Location 1

Location 11840 S 1300 ESalt Lake City, UT 84105-3617 · Phone (801) 832-2200

Accepted 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

Sheila R Behunin 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 ID3476926403
PECOS Enrollment IDI20230222001517
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30540 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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
25 HIGHLAND XING S
EAST ELLIJAY, GA 30540
Nurse Practitioner (Family)
25 HIGHLAND XING S
EAST ELLIJAY, GA 30540

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 Sheila Behunin's NPI number?

The NPI number for Sheila Behunin is 1205417250. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Sheila Behunin located?

Sheila Behunin practices at 25 Highland Xing S, East Ellijay, GA 30540. The listed phone number is (334) 689-4025.

What is Sheila Behunin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sheila Behunin enrolled in Medicare?

Yes. Sheila Behunin 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 Sheila Behunin accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Sheila Behunin 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.

When was this NPI record last updated?

The NPPES record for Sheila Behunin was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.