SHEELA SHETH MD
NPI 1922635242
Internal Medicine - Rheumatology in Covington, GA
About Sheela Sheth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEELA SHETH MD (NPI 1922635242) is an individual rheumatology provider in Covington, Georgia, licensed in Georgia (104468) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sheela Sheth 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.
Medicare Billing Reassignment
Medicare enrollment records show Sheela Sheth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 689 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Newton Hospital
Acute Care Hospitals · Covington, GAPiedmont Rockdale Hospital
Acute Care Hospitals · Conyers, GAPiedmont Henry Hospital
Acute Care Hospitals · Stockbridge, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COVINGTON, GA 30014
COVINGTON, GA 30014
COVINGTON, GA 30014
COVINGTON, GA 30014
COVINGTON, GA 30014
COVINGTON, GA 30014
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 Sheela Sheth's NPI number?
The NPI number for Sheela Sheth is 1922635242. It was assigned to this individual provider in the NPPES registry on March 25, 2020.
Where is Sheela Sheth located?
Sheela Sheth practices at 4181 Hospital Dr NE Ste 204, Covington, GA 30014. The listed phone number is (678) 342-8673.
What is Sheela Sheth's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Sheela Sheth enrolled in Medicare?
Yes. Sheela Sheth 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.
Which organization bills Medicare for Sheela Sheth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheela Sheth reassigns Medicare benefits to Piedmont Providers LLC (Jasper, 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 Sheela Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheela Sheth 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 Sheela Sheth 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 Sheela Sheth affiliated with any hospitals?
According to CMS data, Sheela Sheth is affiliated with Piedmont Newton Hospital, Piedmont Rockdale Hospital and Piedmont Henry Hospital.
When was this NPI record last updated?
The NPPES record for Sheela Sheth was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Sheela Sheth, MD · NPI 1922635242
Rheumatology physician in Covington, Georgia. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1922635242 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 104468 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4181 HOSPITAL DR NE STE 204, Covington, GA 30014-2541
- **Phone:** (678) 342-8673 · **Fax:** (404) 609-5303
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Piedmont Providers LLC (NPI 1548273592, Jasper, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922635242) · Data from the CMS NPPES public registry.