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MRS. SANDRA SHEFFIELD DO
NPI 1801391628
Internal Medicine in Nashville, GA

Active since March 25, 2018PECOS Enrolled
201 N BARTOW ST, NASHVILLE, GA 31639(296) 862-7742 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 18, 2019, Mar 25, 2018 (2 updates tracked since 2018).

About Mrs. Sandra Sheffield Do NPPES

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

MRS. SANDRA SHEFFIELD DO (NPI 1801391628) is an individual internal medicine provider in Nashville, Georgia, licensed in Florida (UO6033) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801391628
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. SANDRA SHEFFIELDCredential: DO
Location Address201 N BARTOW STNashville, GA 31639-1435
Mailing AddressPo Box 749Ocilla, GA 31774-0749 · (229) 468-9166 · Fax (229) 468-9188
Phone(296) 862-7742
Sole ProprietorNo
Enumeration DateMarch 25, 2018
Last NPPES UpdateSeptember 2, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
✔ NPI 1801391628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · UO6033
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 N BARTOW ST, Nashville, GA 31639
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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)

Mrs. Sandra Sheffield Do 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 Sandra Sheffield reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Central Primary Care Center, Inc
27 mi
Federally Qualified Health Center (FQHC)
204 E 4TH ST
Ocilla, GA 31774
  • Reassigned Medicare billing, Georgia enrollment
  • 27 clinicians in this Medicare group
NPI 1891978854 (229) 468-9166

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 31639 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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 3

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

FREDRICK ARTHUR KOEHLER MD
Internal Medicine
201 N BARTOW ST
NASHVILLE, GA 31639
Berrien County (229) 686-2774
BETTY ANN SMITH FNP-C
Nurse Practitioner (Family)
201 N BARTOW ST
NASHVILLE, GA 31639
Berrien County (229) 686-2774
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
201 N BARTOW ST
NASHVILLE, GA 31639
Berrien County (229) 686-2774

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 Sandra Sheffield's NPI number?

The NPI number for Sandra Sheffield is 1801391628. It was assigned to this individual provider in the NPPES registry on March 25, 2018.

Where is Sandra Sheffield located?

Sandra Sheffield practices at 201 N Bartow St, Nashville, GA 31639. The listed phone number is (296) 862-7742.

What is Sandra Sheffield's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandra Sheffield enrolled in Medicare?

Yes. Sandra Sheffield is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Sheffield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Sheffield reassigns Medicare benefits to South Central Primary Care Center, Inc (Ocilla, 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 Sandra Sheffield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Sheffield accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sandra Sheffield 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 Sandra Sheffield was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.