DR. JAMES WELTON SHEALY DDS NPI 1619044724

NPI Information

  • NPI: 1619044724
  • Provider Name: DR. JAMES WELTON SHEALY, DDS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16 FELTON PL # B
    CARTERSVILLE, GA
    ZIP 30120
  • Phone: (770) 382-3536

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NPI Details

DR. James Welton Shealy, DDS is a pediatric dentistry dentist in Cartersville, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. James Welton Shealy, DDS NPI is 1619044724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16 FELTON PL # B
CARTERSVILLE, GA
ZIP 30120-152
Phone: (770) 382-3536
Fax: (770) 382-1915

The NPI 1619044724 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/30/2006 and was last updated on 7/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry09480IOWAYes
21223P0221XDentistPediatric DentistryDS042563PENNSYLVANIANo
31223P0221XDentistPediatric DentistryDN011369GEORGIANo
41223P0221XDentistPediatric Dentistry1001759WISCONSINNo
51223P0221XDentistPediatric Dentistry36121TEXASNo
61223P0221XDentistPediatric Dentistry10380TENNESSEENo
71223P0221XDentistPediatric Dentistry8498SOUTH CAROLINANo
81223P0221XDentistPediatric Dentistry2901022957MICHIGANNo
91223P0221XDentistPediatric Dentistry30.025291OHIONo
101223P0221XDentistPediatric Dentistry12013092AINDIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100746798BMEDICAIDGEORGIA
2100517OTHERGEORGIAAVESIS MEDICAID
39181146OTHERGEORGIADORAL MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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