MR. DAVID E STIDHAM (NPI# 1700378049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700378049 |
| Entity Type | Individual |
| Full Name | MR. DAVID E STIDHAM |
| Credential | FNP-C |
| Practice Address |
902 Pecan St Nashville GA 31639-1220 |
| Practice Telephone | 2295074701 |
| Mailing Telephone | 2295074701 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN139536 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
902 PECAN ST |
| City | NASHVILLE |
| State | GA |
| Zip Code | 31639-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922557792 | Ssss | Clinic/Center | 902 Pecan St, Nashville, GA 31639-1220 | 2016-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528297538 | Jonathan David Wade | Family Medicine | 110 S Jefferson St, Nashville, GA 31639 | 2009-07-11 |
| 1952519449 | Sherrie Lynn Williams | Social Worker | 168 Oak Ridge Dr., Nashville, GA 31639 | 2007-05-18 |
| 1467665208 | Celestine Stiles | Family Medicine | 418 E. Mcpherson Ave, Nashville, GA 31639 | 2007-05-08 |
| 1710056668 | Berrien County Board of Education Program for Exceptional Students | Local Education Agency (LEA) | 909a N Davis St., Nashville, GA 31639 | 2006-11-07 |
| 1487762852 | J H Harvey Co LLC | Durable Medical Equipment & Medical Supplies | 207 Mcpherson St, Nashville, GA 31639 | 2006-08-27 |
| 1427081033 | Quality Homecare Inc | Durable Medical Equipment & Medical Supplies | 711 North Davis St, Nashville, GA 31639 | 2006-07-08 |
| 1619954112 | Richard E Wheeler | Family Medicine | 416a East Mcpherson Ave, Nashville, GA 31639 | 2005-12-27 |
| 1639467038 | Southland-nashville Emergency Services, LLC. | Emergency Medicine | 1221 E Mcpherson Ave, Nashville, GA 31639 | 2011-07-19 |
| 1174189542 | Margaret Williams | Adult Companion | 808 Edgewood St Apt 103, Nashville, GA 31639-1177 | 2019-05-11 |
| 1336184514 | Dogwood Pharmacy LLC | Pharmacy | 501 N Davis St, Nashville, GA 31639-1426 | 2006-06-19 |
| Find all providers in zip 31639 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1629684568 | Kathryn Ann Vago | Nurse Practitioner | 320 Doe Ridge Ct, Nashville, TN 37214-4741 | 2020-09-16 |
| 1275149163 | Courtney Lee Hunt | Nurse Practitioner | 5202 Centennial Blvd Ste 110, Nashville, TN 37209-1478 | 2020-09-16 |
| 1205441276 | Amy J Evans | Nurse Practitioner | 912a Spain Ave, Nashville, TN 37216-3625 | 2020-09-15 |
| 1285248898 | Stephanie Logan | Nurse Practitioner | 4720 Brighton Village Dr Unit A8, Nashville, TN 37211-6672 | 2020-09-01 |
| 1811500739 | Lauren Megan Jones | Nurse Practitioner | 1204b N 6th St, Nashville, TN 37207-5518 | 2020-08-29 |
| 1841802741 | Shasti Miller | Nurse Practitioner | 512 Old Hickory Blvd Apt 1819, Nashville, TN 37209-6104 | 2020-08-20 |
| 1770193633 | Nesheba Joy Facey-thomas | Nurse Practitioner | 1413 Ramble Hill Cir, Nashville, TN 37211-8530 | 2020-08-05 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.