SHEELA SHETH MD
NPI 1922635242
Internal Medicine - Rheumatology in Covington, GA

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
4181 HOSPITAL DR NE STE 204, COVINGTON, GA 30014(678) 342-8673(404) 609-5303 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Jul 8, 2025, Jun 14, 2023 and 2 more (5 updates tracked since 2020).

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 is a graduate of Other (2020).

NPPES Registry Identity

NPI1922635242
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSHEELA SHETHCredential: MD
Location Address4181 HOSPITAL DR NE STE 204Covington, GA 30014-2541
Mailing Address4181 Hospital Dr Ne Ste 204Covington, GA 30014-2541 · (678) 342-8673 · Fax (404) 609-5303
Fax(404) 609-5303
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateSeptember 11, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
NPI 1922635242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in GA · 104468
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

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

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.

PECOS PAC ID7214397223
PECOS Enrollment IDI20250912003511
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 3

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Physician 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.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 9

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

Physician Assistant
4181 HOSPITAL DR NE STE 204
COVINGTON, GA 30014
Orthopaedic Surgery (Hand Surgery)
4181 HOSPITAL DR NE STE 204
COVINGTON, GA 30014
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4181 HOSPITAL DR NE STE 204
COVINGTON, GA 30014
Specialist/Technologist (Athletic Trainer)
4181 HOSPITAL DR NE STE 204
COVINGTON, GA 30014
Physical Medicine & Rehabilitation (Sports Medicine)
4181 HOSPITAL DR NE STE 204
COVINGTON, GA 30014
Orthopaedic Surgery (Sports Medicine)
4181 HOSPITAL DR NE STE 204
COVINGTON, GA 30014
Pain Medicine (Interventional Pain Medicine)
4181 HOSPITAL DR NE STE 204
COVINGTON, GA 30014
Physician Assistant
4181 HOSPITAL DR NE STE 204
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.

What insurance does Sheela Sheth accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 11 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.