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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHEISA YADMARELIS CLAUDIO-SANDOVAL M.D.
NPI 1235578162
Pediatrics in Marietta, GA

Active since June 25, 2013PECOS Enrolled
3405 DALLAS HWY SW STE 300, MARIETTA, GA 30064(770) 727-2990 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Oct 13, 2016 (2 updates tracked since 2016).

About Sheisa Yadmarelis Claudio-sandoval M.d. NPPES

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

SHEISA YADMARELIS CLAUDIO-SANDOVAL M.D. (NPI 1235578162) is an individual pediatrics provider in Marietta, Georgia, licensed in Georgia (006114) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235578162
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHEISA YADMARELIS CLAUDIO-SANDOVALCredential: M.D.
Location Address3405 DALLAS HWY SW STE 300Marietta, GA 30064-6426
Mailing Address3405 Dallas Hwy Sw Ste 300Marietta, GA 30064-6426 · (770) 727-2990
Phone(770) 727-2990
Sole ProprietorNo
Enumeration DateJune 25, 2013
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1235578162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 006114
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3405 DALLAS HWY SW STE 300, Marietta, GA 30064
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheisa Yadmarelis Claudio-sandoval M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sheisa Claudio-sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Au Medical Associates Inc
157 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30064 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 10

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

DR. ROBERT A FORBES JR. MD
Pediatrics (Adolescent Medicine)
3405 DALLAS HWY SW STE 300
MARIETTA, GA 30064
Cobb County (770) 425-5331
ANGELA DENISE SWAIN CPNP
Nurse Practitioner (Pediatrics)
3405 DALLAS HWY SW STE 300
MARIETTA, GA 30064
Cobb County (770) 425-5331
MS. DIANNA LINDA RAINS CPNP
Nurse Practitioner (Pediatrics)
3405 DALLAS HWY SW STE 300
MARIETTA, GA 30064
Cobb County (770) 425-5331
DR. JULIA T. GAINES M.D.
Pediatrics (Adolescent Medicine)
3405 DALLAS HWY SW STE 300
MARIETTA, GA 30064
Cobb County (770) 425-5331
DR. ERIKA SANDRA VAN PUTTEN MD
Pediatrics (Adolescent Medicine)
3405 DALLAS HWY SW STE 300
MARIETTA, GA 30064
Cobb County (770) 425-5331
DR. CRAIG L LEBISH MD
Pediatrics (Adolescent Medicine)
3405 DALLAS HWY SW STE 300
MARIETTA, GA 30064
Cobb County (770) 425-5331
NIKKI T ROBERTS MD
Pediatrics (Adolescent Medicine)
3405 DALLAS HWY SW STE 300
MARIETTA, GA 30064
Cobb County (770) 425-5331
JULIE CLAIRE COSGROVE CPNP
Nurse Practitioner (Pediatrics)
3405 DALLAS HWY SW STE 300
MARIETTA, GA 30064
Cobb County (770) 425-5331

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 Sheisa Claudio-sandoval's NPI number?

The NPI number for Sheisa Claudio-sandoval is 1235578162. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Sheisa Claudio-sandoval located?

Sheisa Claudio-sandoval practices at 3405 Dallas Hwy SW Ste 300, Marietta, GA 30064. The listed phone number is (770) 727-2990.

What is Sheisa Claudio-sandoval's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sheisa Claudio-sandoval enrolled in Medicare?

Yes. Sheisa Claudio-sandoval is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sheisa Claudio-sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheisa Claudio-sandoval reassigns Medicare benefits to Au Medical Associates Inc (Augusta, GA). The 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 Sheisa Claudio-sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sheisa Claudio-sandoval was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.