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MR. DAVID E STIDHAM FPMHNP
NPI 1700378049
Nurse Practitioner - Psychiatric/Mental Health in Adel, GA

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment
1905 S HUTCHINSON AVE, ADEL, GA 31620(229) 896-4559(229) 896-8367 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2021, Aug 20, 2021 (2 updates tracked since 2021).

About Mr. David E Stidham Fpmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID E STIDHAM FPMHNP (NPI 1700378049) is an individual psychiatric/mental health provider in Adel, Georgia, licensed in Georgia (RN139536) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700378049
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. DAVID E STIDHAMCredential: FPMHNP
Location Address1905 S HUTCHINSON AVEAdel, GA 31620-5246
Mailing Address3120 N Oak Street Ext Ste CValdosta, GA 31602-5910 · (229) 896-4559 · Fax (229) 896-8367
Phone(229) 896-4559
Fax(229) 896-8367
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 1, 2018
Last NPPES UpdateSeptember 27, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1700378049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN139536
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN139536 (GA)
1905 S HUTCHINSON AVE, Adel, GA 31620
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. David E Stidham Fpmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749539674
PECOS Enrollment IDI20180824002914
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARYL LYNN GULLEY LMSW
Social Worker
1905 S HUTCHINSON AVE
ADEL, GA 31620
Cook County (229) 896-4559
MARGARET O'BERRY
Registered Nurse
1905 S HUTCHINSON AVE
ADEL, GA 31620
Cook County (229) 896-4559
VERONICA DENISE WILLIAMS M.ED., LPC
Counselor (Professional)
1905 S HUTCHINSON AVE
ADEL, GA 31620
Cook County (229) 896-4559
MONICA LYNN STALVEY LPC
Counselor (Professional)
1905 S HUTCHINSON AVE
ADEL, GA 31620
Cook County (229) 896-4559
GEORGIA PINES COMMUNITY SERVICE BOARD
Community/Behavioral Health
1905 S HUTCHINSON AVE
ADEL, GA 31620
Cook County (229) 225-4335
AMANDA HOPE TILLMAN LMFT
Marriage & Family Therapist
1905 S HUTCHINSON AVE
ADEL, GA 31620
Cook County (229) 896-4559
MRS. MARKESCIA BATRICE CORKER LMSW
Social Worker
1905 S HUTCHINSON AVE
ADEL, GA 31620
Cook County (229) 896-4559
HOME MEDICAL SYSTEMS INC
Durable Medical Equipment & Medical Supplies
1905 S HUTCHINSON AVE
ADEL, GA 31620
Cook County (229) 896-2435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Stidham's NPI number?

The NPI number for David Stidham is 1700378049. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is David Stidham located?

David Stidham practices at 1905 S Hutchinson Ave, Adel, GA 31620. The listed phone number is (229) 896-4559.

What is David Stidham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is David Stidham enrolled in Medicare?

Yes. David Stidham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Stidham was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.