MR. DAVID E STIDHAM (FPMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1700378049
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for MR. DAVID E STIDHAM (FPMHNP)
902, Pecan Street, Nashville, Berrien County, Georgia, 31639, United States
NASHVILLE, GA 316391220
Phone: (229) 507-4701
Type: Mailing
3120 N OAK STREET EXT STE C
VALDOSTA, GA 316025910
Phone: (229) 896-4559
Fax: (229) 896-8367
Type: Mailing
1905 S HUTCHINSON AVE
ADEL, GA 316205246
Phone: (229) 896-4559
Fax: (229) 896-8367
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $1,387.
Total Amount is formed as General ($1,387) + Research ($0) + Ownership ($0) = $1,387.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($265).
Total Amount
$1,387
General + Research + Ownership
Payments
64
Total payment records
General Amount
$1,387
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $265 |
| Teva Pharmaceuticals USA, Inc. | $230 |
| Neurocrine BioSciences Inc. | $198 |
| Alkermes, Inc. | $170 |
| Shockwave Medical, Inc | $165 |
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: 2018-08-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180824002914 | I | Nurse Practitioner | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 170 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 13 | $0 |
Insurance plans in this area (ZIP 31639)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Clinical Social Worker | GA | |
| - | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA |
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