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

Mr. David E Stidham, FPMHNP

Individual provider Family Nurse Practitioner · NPI 1700378049

Mr. David E Stidham, FPMHNP is a Nurse Practitioner in Adel, Georgia. Qualified in 2017, 9 years ago. Practices with Behavioral Health Services of South Georgia, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1905 S Hutchinson Ave
Adel, GA 31620-5246
Phone: (229) 896-4559
Fax: (229) 896-8367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN139536 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN139536 (GA)

Record details

NPI number1700378049
Entity typeIndividual (Type 1)
GenderMale
Credentials FPMHNP
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Behavioral Health Services Of South Georgia — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Adel