TERESA NICHOLSON CNM NPI 1184972887

NPI Information

  • NPI: 1184972887
  • Provider Name: TERESA NICHOLSON, CNM
  • Classification: Advanced Practice Midwife - 367A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 104 LAKESHORE DR
    STE A
    SAINT MARYS, GA
    ZIP 31558
  • Phone: (912) 882-7100

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NPI Details

Teresa Nicholson, CNM is an advanced practice midwife in Saint Marys, GA. The provider is advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure. Teresa Nicholson, CNM NPI is 1184972887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

104 LAKESHORE DR
STE A
SAINT MARYS, GA
ZIP 31558-803
Phone: (912) 882-7100
Fax: (912) 882-9149

The NPI 1184972887 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/28/2012 and was last updated on 12/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0000XRegistered NurseGeneral PracticeRN103935GEORGIANo
2367A00000XAdvanced Practice MidwifeRN103935GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1202I422481OTHERGEORGIAMEDICARE PTAN
2003127951AMEDICAIDGEORGIA
3003127951BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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