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

Active since April 30, 2020PECOS EnrolledAccepts Medicare Assignment
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: July 26, 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, is affiliated with Adventist Health Tillamook, and is a graduate of Other (2018).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
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

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

Sheldon A Herbert Md 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 ID9234586306
PECOS Enrollment IDI20231110001264
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventist Health Tillamook

Critical Access Hospitals · Tillamook, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381317
Location1000 Third StreetTillamook, OR 97141 · Tillamook County
Emergency services

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381319
Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Student in an Organized Health Care Education/Training Program
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Student in an Organized Health Care Education/Training Program
2336 DAWSON RD STE 2200
ALBANY, GA 31707

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sheldon Herbert accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. 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.

Is Sheldon Herbert affiliated with any hospitals?

According to CMS data, Sheldon Herbert is affiliated with Adventist Health Tillamook and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Sheldon Herbert was last updated on June 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.