KENNETH JOHN SHEFFIELD – Certified Registered Nurse Anesthetist, NPI 1750110334

KENNETH JOHN SHEFFIELD is a healthcare provider. based in Gray, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN291634 (GA). The NPI Number for KENNETH JOHN SHEFFIELD is 1750110334

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
KENNETH JOHN SHEFFIELD
NPI
1750110334
Phone
(678) 758-1545
Address
259 Greenwood Rd
Enumeration Date
31 July 2024
Last Update Date
7 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4786336399
Graduation Year
2025 (1 year ago)
PAC ID
7315434883
Group Practice PAC ID
7618934779
Professional Enrollment ID
I20251016005075
Address ID
GA312012102MA777XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for KENNETH JOHN SHEFFIELD

  • 259 Greenwood Rd

    Gray, GA 310326303

    Phone: (678) 758-1545

    Type: Location

  • 259 GREENWOOD RD

    GRAY, GA 310326303

    Phone: (678) 758-1545

    Type: Mailing

  • 777 HEMLOCK ST

    MACON, GA 312012102

    Phone: (478) 633-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251016005075ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618934779View full group profile
NameSpecialtyState
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)FL
Pain Management, Anesthesiology, Interventional Pain ManagementGA
-TX
-KY
-SC
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What federal number belongs to KENNETH JOHN SHEFFIELD?
The federal identifier for KENNETH JOHN SHEFFIELD is NPI 1750110334.
Does this profile mean KENNETH JOHN SHEFFIELD is currently active?
Yes — KENNETH JOHN SHEFFIELD appears active in the national provider directory.
What field does KENNETH JOHN SHEFFIELD work in?
You can think of KENNETH JOHN SHEFFIELD as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for KENNETH JOHN SHEFFIELD?
We surface Gray, Georgia for KENNETH JOHN SHEFFIELD based on available NPPES addresses.
How can I contact KENNETH JOHN SHEFFIELD?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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