RICHARD RUSSELL JR. SHELTON (MD) – Pediatrics Physician, NPI 1619947769

RICHARD RUSSELL JR. SHELTON (MD) is a healthcare provider. based in Gainesville, Georgia. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 043775 (GA). The NPI Number for RICHARD RUSSELL JR. SHELTON (MD) is 1619947769

Main info

Male
Name
RICHARD RUSSELL JR. SHELTON (MD)
NPI
1619947769
Phone
(770) 535-3611
Address
725 Jesse Jewell Pkwy SE
Enumeration Date
23 January 2006
Last Update Date
4 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for RICHARD RUSSELL JR. SHELTON (MD)

  • 725 Jesse Jewell Pkwy SE

    Gainesville, GA 305013834

    Phone: (770) 535-3611

    Fax: (770) 535-7092

    Type: Location

  • 155 Professional Dr

    Baldwin, GA 305114000

    Phone: (706) 776-2368

    Fax: (706) 776-2589

    Type: Location

  • 1270 Friendship Rd

    Braselton, GA 305175630

    Phone: (678) 207-4200

    Fax: (770) 533-4771

    Type: Location

  • 4019 Executive Drive

    Oakwood, GA 305663433

    Phone: (770) 533-6500

    Fax: (770) 533-6543

    Type: Location

  • 743 Spring St NE

    Gainesville, GA 305013715

    Phone: (770) 535-3611

    Fax: (770) 535-7092

    Type: Location

  • 1400 River Pl

    Braselton, GA 305175600

    Phone: (770) 535-3611

    Fax: (770) 535-7092

    Type: Location

  • PO BOX 1060

    OAKWOOD, GA 305660018

    Phone: (770) 718-1122

    Type: Mailing

  • 4095, South Lee Street, Buford, Gwinnett County, Georgia, 30518, United States

    BUFORD, GA 305183647

    Phone: (770) 932-8519

    Fax: (770) 533-4798

    Type: Location

  • PO BOX 658

    GAINESVILLE, GA 305030658

    Phone: (770) 718-1122

    Fax: (770) 535-7445

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $363.

Total Amount is formed as General ($363) + Research ($0) + Ownership ($0) = $363.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Corium, LLC ($242).

Total Amount

$363

General + Research + Ownership

Payments

39

Total payment records

General Amount

$363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2010-08-03

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
I20100803000744IPediatric MedicineGATBD

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 30501)

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Reviews

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Frequently asked questions

What is the standard ID for RICHARD RUSSELL JR. SHELTON (MD) in the U.S.?
In the U.S., RICHARD RUSSELL JR. SHELTON (MD) is identified by NPI 1619947769.
Is RICHARD RUSSELL JR. SHELTON (MD)'s NPI status active today?
Active status means RICHARD RUSSELL JR. SHELTON (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits RICHARD RUSSELL JR. SHELTON (MD)?
NPPES ties RICHARD RUSSELL JR. SHELTON (MD) to Pediatrics Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RICHARD RUSSELL JR. SHELTON (MD)?
RICHARD RUSSELL JR. SHELTON (MD) is associated with Gainesville, Georgia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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