Provider profile

Sheetal ShahMD

Ophthalmology

NPI 1306042478
1365 Clifton Rd NE, Atlanta, GA 30322404-778-2020

Check your plan

Medicare Advantage plans for DeKalb County, GA.

Checked Oct 13, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 88 Medicare Advantage plans we show for DeKalb County, GA in 2027

  • 41 list Sheetal
  • 47 not listed

Aetna Medicare

12 plans list Sheetal.

12plans
  • Aetna Medicare Eagle Extra Plus (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501
    • 773 N Main St, # 101, Clayton, GA, 30525

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH2293-009-000Medicare.gov
    $0a month
  • Aetna Medicare Eagle Plus (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501
    • 773 N Main St, # 101, Clayton, GA, 30525

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH3288-034-000Medicare.gov
    $0a month
  • Aetna Medicare Elite (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501
    • 773 N Main St, # 101, Clayton, GA, 30525

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-091-000Medicare.gov
    $0a month
  • Aetna Medicare Elite Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501
    • 773 N Main St, # 101, Clayton, GA, 30525

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH2293-010-000Medicare.gov
    $0a month

Wellcare

10 plans list Sheetal.

10plans
  • Wellcare Assist (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH1112-043-000Medicare.gov
    $0a month
  • Wellcare Giveback (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH1112-042-000Medicare.gov
    $0a month
  • Wellcare Patriot Giveback Open (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH0111-007-000Medicare.gov
    $0a month
  • Wellcare Patriot Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH1112-034-000Medicare.gov
    $0a month

Anthem Blue Cross and Blue Shield

6 plans list Sheetal.

6plans
  • Anthem Veteran (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Gainesville, GA, 30501
    • 2061 Beverly Rd, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH5422-014-000Medicare.gov
    $0a month
  • Anthem Veteran (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Gainesville, GA, 30501
    • 2061 Beverly Rd, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH4036-040-000Medicare.gov
    $0a month
  • Anthem Medicare Advantage 2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Gainesville, GA, 30501
    • 2061 Beverly Rd, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH5422-020-000Medicare.gov
    $55a month
  • Anthem Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Gainesville, GA, 30501
    • 2061 Beverly Rd, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5422-018-000Medicare.gov
    $0a month

HealthSpring

6 plans list Sheetal.

6plans
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 2061 Beverly Rd, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH0439-015-002Medicare.gov
    $0a month
  • HealthSpring Preferred GA (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 2061 Beverly Rd, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH0439-003-001Medicare.gov
    $0a month
  • HealthSpring Preferred Savings (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 2061 Beverly Rd, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH0439-016-000Medicare.gov
    $0a month
  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 2061 Beverly Rd, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH7849-145-000Medicare.gov
    $0a month

UnitedHealthcare

6 plans list Sheetal; not listed on 2 other plans.

6plans
  • AARP Medicare Advantage from UHC GA-10 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH5322-053-000Medicare.gov
    $0a month
  • UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsR2604-005-000Medicare.gov
    $0a month
  • UHC Dual Complete GA-Q2 (PPO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    PPOFor people with Medicare and MedicaidDrug coverage3.5 starsH3256-005-001Medicare.gov
    $0a month
  • UHC Complete Care Support GS-1A (Regional PPO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5670 Old Winder Hwy, Ste 201, Braselton, GA, 30517
    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    PPOFor people with certain chronic conditionsDrug coverage3.5 starsR2604-002-000Medicare.gov
    $2.10a month

PruittHealth Premier

1 plan lists Sheetal.

1plan
  • PruittHealth Premier D-SNP (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1485 Jesse Jewell Pkwy NE, Ste 100, Gainesville, GA, 30501

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH3291-002-000Medicare.gov
    $0a month

Clover Health

Not listed on its 3 plans here. That isn't proof they're out of network.

Devoted

Not listed on its 7 plans here. That isn't proof they're out of network.

Humana

Not listed on its 27 plans here. That isn't proof they're out of network.

Kaiser Permanente

Not listed on its 8 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Sheetal takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

1365 Clifton Rd NE
Atlanta, GA 30322

NPI Registry
NPI issued
2007
Registry record updated
Feb 23, 2012

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Sheetal Shah?

In DeKalb County, GA, 41 Medicare Advantage plans for 2027 list Sheetal in provider data from Medicare.gov or the carrier, including Aetna Medicare Eagle Extra Plus (PPO), Aetna Medicare Eagle Plus (PPO) and Aetna Medicare Elite (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Sheetal Shah take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Sheetal on 12 Medicare Advantage plans for 2027 in DeKalb County, GA, including Aetna Medicare Eagle Extra Plus (PPO) and Aetna Medicare Eagle Plus (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Does Sheetal Shah take Wellcare Medicare Advantage plans?

Medicare.gov provider data lists Sheetal on 10 Medicare Advantage plans for 2027 in DeKalb County, GA, including Wellcare Assist (HMO-POS) and Wellcare Giveback (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Wellcare before you enroll.

Does Sheetal Shah take Anthem Blue Cross and Blue Shield Medicare Advantage plans?

Medicare.gov provider data lists Sheetal on 6 Medicare Advantage plans for 2027 in DeKalb County, GA, including Anthem Veteran (HMO-POS) and Anthem Veteran (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Anthem Blue Cross and Blue Shield before you enroll.

Where does Sheetal Shah practice?

1365 Clifton Rd NE, Atlanta, GA 30322.

How do I confirm Sheetal is in my plan's network?

Call the member services number on your plan card and give them the NPI 1306042478, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Sheetal's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Sheetal Shah on 45 plans from Clover Health, Devoted, Humana and Kaiser Permanente in DeKalb County, GA. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2012-02-23). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 13, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Sheetal Shah or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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