Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David A Theobald, FNP

Individual provider Family Nurse Practitioner · NPI 1588003859

David A Theobald, FNP is a Nurse Practitioner in Columbus, Georgia. Qualified in 2013, 13 years ago. Practices with Millennium Physician Group of Georgia LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2013
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

610 19th St
Columbus, GA 31901-1528
Phone: (706) 322-7884
Fax: (706) 243-4356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 151127 (GA)

Record details

NPI number1588003859
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 20, 2013
Last updated in NPPESMay 6, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Millennium Physician Group Of Georgia Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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