KEVIN JAMES SHEAHAN MD
NPI 1902900582
Anesthesiology - Pain Medicine in Newnan, GA
NPI Status: Active since September 12, 2006
Contact Information
745 POPLAR RD
NEWNAN, GA
ZIP 30265
Phone: (516) 945-3000
Fax: (704) 248-5537
- Individual
- Male
- Anesthesiology
- Pain Medicine
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About KEVIN SHEAHAN
This page provides the complete NPI Profile along with additional information for Kevin Sheahan, a provider established in Newnan, Georgia with a medical specialization in Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1902900582 assigned on September 2006. The practitioner's primary taxonomy code is 207LP2900X with license number 035332 (GA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1902900582
- Provider Name
- KEVIN JAMES SHEAHAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 745 POPLAR RD NEWNAN, GA 30265
- Location Phone
- (516) 945-3000
- Location Fax
- (704) 248-5537
- Mailing Address
- PO BOX 945384 ATLANTA, GA 30394
- Mailing Phone
- (516) 945-3000
- Mailing Fax
- (704) 248-5537
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-12-2006
- Last Update Date
- 11-19-2024
- Code Navigator
Location Map
Secondary Locations
- 1150 Hammond Dr Bldg E40
Atlanta, GA 30328
(770) 558-8501 - 2727 Paces Ferry Rd SE Ste 300
Atlanta, GA 30339
(516) 945-3000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 035332
- License State
- GA
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | 035332 (GA) |
| 2 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | 035332 (GA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 035332 | OTHER (01) | GA | LICENSE |
| 23251 | OTHER (01) | GA | AMERICAN BOARD OF ANESTHESIOLOGY |
Medicare Participation & PECOS Enrollment Status
Kevin Sheahan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for nerve block and injection procedure, prone position
Electronic analysis reprogramming and refill of spinal canal drug infusion pump
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.
This service was performed 17 times for 15 patientsThis procedure involves checking and adjusting a small device placed under your skin that delivers medication directly to your spinal canal. The device is reprogrammed as needed and the medicine is refilled to manage your pain effectively.
This service was performed 27 times for 22 patientsThis procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.
This service was performed 16 times for 14 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 237 times for 169 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 63 times for 57 patientsThis procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
This service was performed 25 times for 20 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 43% | 239 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1902900582, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902900582, enumerated as an "individual" on September 12, 2006.
The provider is located at 745 POPLAR RD NEWNAN, GA 30265 and the phone number is (516) 945-3000.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
