Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619947769 Individual Practitioner Male Practitioner

Dr. Richard Russell Shelton , MD

Pediatrics • Buford, GA

Professional Overview & Biography Verified Profile Summary

Dr. Richard Shelton, MD is a registered healthcare professional specializing in Pediatrics in Buford, GA. Practice services are available at 4095 S LEE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4095 S Lee St

Buford, GA 305183647

Telephone 7709328519
Fax 7705334798
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Buford, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Buford, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 043775

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000754157R (GA)
Medicaid State Provider ID
000754157Q (GA)
Medicaid State Provider ID
000754157M (GA)
Medicaid State Provider ID
000754157P (GA)
Medicaid State Provider ID
000754157N (GA)
Commercial Insurance / Payer ID Wellcare
302571 (GA)
Commercial Insurance / Payer ID Amerigroup
10032982 (GA)
Commercial Insurance / Payer ID Wellcare
302567 (GA)
Commercial Insurance / Payer ID Aetna Hmo
2276934 (GA)
Commercial Insurance / Payer ID Wellcare
302587 (GA)

Secondary Practice Locations

1400 River Pl

Braselton, GA 305175600

Phone: 7705353611

1270 Friendship Rd

Braselton, GA 305175630

Phone: 6782074200

155 Professional Dr

Baldwin, GA 305114000

Phone: 7067762368

725 Jesse Jewell Pkwy Se

Gainesville, GA 305013834

Phone: 7705353611

4019 Executive Drive

Oakwood, GA 305663433

Phone: 7705336500

743 Spring St Ne

Gainesville, GA 305013715

Phone: 7705353611

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1013997444

Doctor of Medicine (M.D.)

Kathryn Liccardo , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1497380497

CPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address February 04, 2026

Registered at PO BOX 1060, OAKWOOD, GA 305660018 (Tel: 7707181122)

📍
Updated Practice Location March 08, 2019

Registered at 4095 S LEE ST, BUFORD, GA 305183647 (Tel: 7709328519)

NPI Profile Active August 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2011

Registered at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 305013834 (Tel: 7705353611)

📍
Updated Business Mailing Address August 23, 2011

Registered at PO BOX 658, GAINESVILLE, GA 305030658 (Tel: 7707181122)

👤
Provider Name / Credentials Updated August 23, 2011

Recorded as RICHARD SHELTON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2011

Pediatrics (License #043775 in GA)

🟢
Initial NPI Registration & Enumeration January 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619947769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2006
Last Update: February 04, 2026
Sole Proprietor: No

Mailing Address

Po Box 1060

Oakwood, GA 305660018

Phone: 7707181122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.