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SHELDON A HERBERT MD
NPI 1700407871
Family Medicine in Albany, GA

Active since April 30, 2020PECOS Enrolled
2336 DAWSON RD STE 2200, ALBANY, GA 31707(229) 312-8797 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sheldon A Herbert Md NPPES

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

SHELDON A HERBERT MD (NPI 1700407871) is an individual family medicine provider in Albany, Georgia, licensed in Georgia (11747) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700407871
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHELDON A HERBERTCredential: MD
Location Address2336 DAWSON RD STE 2200Albany, GA 31707-2801
Mailing Address2336 Dawson Rd Ste 2200Albany, GA 31707-2801 · (229) 312-8797
Phone(229) 312-8797
Sole ProprietorNo
Enumeration DateApril 30, 2020
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1700407871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 11747
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2336 DAWSON RD STE 2200, Albany, GA 31707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheldon A Herbert 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 Reassignment

Medicare enrollment records show Sheldon Herbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Medical Foundation Of Tillamook
2,230 mi
Rural Health
24461 E WELCHES RD
Welches, OR 97067
  • Reassigned Medicare billing, Oregon enrollment
  • 206 clinicians in this Medicare group
NPI 1861944894 (503) 842-4444

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 31707 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 20

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

DR. JOEL JOHN KOSHY DO
Student in an Organized Health Care Education/Training Program
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8878
SORAYA DJADJO
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8878
JOSEPH GERARD SONNTAG DO
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8797
JOSEPH MARIANO MD
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8800
SAPNA PATEL
Student in an Organized Health Care Education/Training Program
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8671
DR. ANTWUAN ALLEN
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8871
TSVETELINA NIKOLOVA STOYANOVA
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 313-8800
DR. AMANDA BRYSON WATTERS MD
Student in an Organized Health Care Education/Training Program
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8798

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 Sheldon Herbert's NPI number?

The NPI number for Sheldon Herbert is 1700407871. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Sheldon Herbert located?

Sheldon Herbert practices at 2336 Dawson Rd Ste 2200, Albany, GA 31707. The listed phone number is (229) 312-8797.

What is Sheldon Herbert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sheldon Herbert enrolled in Medicare?

Yes. Sheldon Herbert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sheldon Herbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheldon Herbert reassigns Medicare benefits to Northwest Medical Foundation Of Tillamook (Welches, OR). 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 Sheldon Herbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheldon Herbert accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Sheldon Herbert 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 Sheldon Herbert was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.