STACEY C REID (CNM) – Advanced Practice Midwife, NPI 1679778419

STACEY C REID (CNM) is a healthcare provider. based in Valdosta, Georgia. specializing in Advanced Practice Midwife. They hold the professional credentials CNM. They hold a License No. RN165481 (GA). The NPI Number for STACEY C REID (CNM) is 1679778419

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
STACEY C REID (CNM)
NPI
1679778419
Phone
(229) 241-2800
Address
220 NORTHSIDE DR
Enumeration Date
20 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292412800
Graduation Year
2007 (19 years ago)
PAC ID
1254517428
Group Practice PAC ID
8729059043
Professional Enrollment ID
I20110524000440
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for STACEY C REID (CNM)

  • 220, Northside Drive, Forrestwood Estates, Valdosta, Lowndes County, Georgia, 31602, United States

    VALDOSTA, GA 316021858

    Phone: (229) 241-2800

    Fax: (229) 241-0454

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $1,460.

Total Amount is formed as General ($1,460) + Research ($0) + Ownership ($0) = $1,460.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Astellas Pharma US Inc ($332).

Total Amount

$1,460

General + Research + Ownership

Payments

75

Total payment records

General Amount

$1,460

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110524000440ICertified Nurse Midwife (Cnm)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31602)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729059043View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
Diagnostic RadiologyOH
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Diagnostic RadiologyVA
Diagnostic RadiologyCA
O B S T E T R I C S/ G Y N E C O L O G YGA
Diagnostic RadiologyFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify STACEY C REID (CNM) for billing?
Administrative and clinical systems typically use NPI 1679778419 for STACEY C REID (CNM).
Is STACEY C REID (CNM)'s NPI status active today?
Active status means STACEY C REID (CNM)'s NPI record is not deactivated in the public file.
What type of care does STACEY C REID (CNM) provide?
STACEY C REID (CNM)'s profile centers on Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What city is tied to STACEY C REID (CNM)?
The directory associates STACEY C REID (CNM) with Valdosta, Georgia. Check all listed addresses for suites or satellite offices.
Why is information missing for STACEY C REID (CNM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

MARY T DAZEY (CNM)

Advanced Practice Midwife
Florida Institute for Reproductive Medicine, 220, Northside Drive, Joree Springs, Valdosta, Lowndes County, Georgia, 31602, United States
NPI: 1871679571

VICKIE D HANKLA (CNM)

Advanced Practice Midwife
Florida Institute for Reproductive Medicine, 220, Northside Drive, Joree Springs, Valdosta, Lowndes County, Georgia, 31602, United States
NPI: 1417033119

DEBORAH CREWS (CNM)

Advanced Practice Midwife
Florida Institute for Reproductive Medicine, 220, Northside Drive, Joree Springs, Valdosta, Lowndes County, Georgia, 31602, United States
NPI: 1235215930
75 Claremont St Ste A
NPI: 1841341500

Unknown Individual

Advanced Practice Midwife
5082 PHILLIPS RD
NPI: 1023235132

SERENDIPITY MIDWIFERY, LLC

Advanced Practice Midwife
1011 WILLIAMS ST
NPI: 1508238064

MRS. MICHELLE LYNN SHIFFLETT (CNM)

Advanced Practice Midwife
2060 WESTSIDE RD
NPI: 1073034732

MRS. VICTORIA LENORE GORDON (CNM)

Advanced Practice Midwife
3338 COUNTRY CLUB RD
NPI: 1134621840