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RICHARD RUSSELL SHELTON JR. MD
NPI 1619947769
Pediatrics in Buford, GA

Active since January 23, 2006PECOS Enrolled
4095 S LEE ST, BUFORD, GA 30518(770) 932-8519(770) 533-4798 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Aug 17, 2023, Jul 8, 2021 and 2 more (5 updates tracked since 2019).

About Richard Russell Shelton Jr. Md NPPES

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

RICHARD RUSSELL SHELTON JR. MD (NPI 1619947769) is an individual pediatrics provider in Buford, Georgia, licensed in Georgia (043775) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1619947769
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRICHARD RUSSELL SHELTON JR.Credential: MD
Location Address4095 S LEE STBuford, GA 30518-3647
Mailing AddressPo Box 1060Oakwood, GA 30566-0018 · (770) 718-1122
Phone(770) 932-8519
Fax(770) 533-4798
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1619947769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 043775
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.
4095 S LEE ST, Buford, GA 30518
Open in Google Maps ↗

Secondary Practice Locations 6

Location 11400 River PlBraselton, GA 30517-5600 · Phone (770) 535-3611 · Fax (770) 535-7092
Location 2725 Jesse Jewell Pkwy SEGainesville, GA 30501-3834 · Phone (770) 535-3611 · Fax (770) 535-7092
Location 3155 Professional DrBaldwin, GA 30511-4000 · Phone (706) 776-2368 · Fax (706) 776-2589
Location 41270 Friendship RdBraselton, GA 30517-5630 · Phone (678) 207-4200 · Fax (770) 533-4771
Location 54019 Executive DriveOakwood, GA 30566-3433 · Phone (770) 533-6500 · Fax (770) 533-6543
Location 6743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 535-3611 · Fax (770) 535-7092

Other Identifiers 15

Other302587GA · Wellcare
Other52684584GA · Bcbs
Other5402578GA · Aetna Ppo
Other8238671GA · Cigna
Medicaid000754157MGA
Medicaid000754157PGA
Medicaid000754157QGA
Other1939869GA · United Healthcare
Other302571GA · Wellcare
Medicaid000754157NGA
Medicaid000754157RGA
Other10032982GA · Amerigroup
Other302567GA · Wellcare
Other2276934GA · Aetna Hmo
Other302588GA · Wellcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Russell Shelton Jr. Md 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 Reassignments

2

Medicare enrollment records show Richard Shelton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Longstreet Clinic, PC
18 mi
Internal Medicine
725 JESSE JEWELL PKWY SE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 170 clinicians in this Medicare group
NPI 1326019977 (770) 718-1122
Northeast Georgia Community Physicians LLC
18 mi
Internal Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 161 clinicians in this Medicare group
NPI 1881583730 (770) 219-9000

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 30518 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 2

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

LAURA FRANTZ PUTNAM MD
Pediatrics
4095 S LEE ST
BUFORD, GA 30518
Gwinnett County (770) 932-8519
KATHRYN DELUISE LICCARDO CPNP-PC
Nurse Practitioner (Pediatrics)
4095 S LEE ST
BUFORD, GA 30518
Gwinnett County (770) 932-8519

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 Richard Shelton's NPI number?

The NPI number for Richard Shelton is 1619947769. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Richard Shelton located?

Richard Shelton practices at 4095 S Lee St, Buford, GA 30518. The listed phone number is (770) 932-8519.

What is Richard Shelton's specialty?

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

Is Richard Shelton enrolled in Medicare?

Yes. Richard Shelton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Shelton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Shelton reassigns Medicare benefits to 2 organizations: The Longstreet Clinic, PC (Gainesville, GA) and Northeast Georgia Community Physicians LLC (Gainesville, GA). 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 Richard Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Shelton accept?

Health plans from Alliant Health Plans, Inc. list Richard Shelton 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 Richard Shelton was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.