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

Stephen A Nickisch, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1578596615

Stephen A Nickisch, MD is an Obstetrics/Gynecology in Saint Marys, Georgia. Graduated from University of New Mexico School of Medicine in 1990, 36 years ago. Practices with OB Hospitalist Group LLC, a 129-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
36
Trained at
University of New Mexico School of Medicine
Licensed in
MT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2060 Dan Proctor Dr Ste 1200
Saint Marys, GA 31558-3894
Phone: (912) 540-6750
Fax: (912) 540-6773
Show map & directions

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

Additional practice locations (1)

  • 500 W Broadway St Fl 4bb, Missoula, MT 59802-4008 — (406) 329-5828

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 10278 (MT)

Record details

NPI number1578596615
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address2060 Dan Proctor Dr Ste 1200, Saint Marys, GA 31558-3895

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Ob Hospitalist Group Llc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Marys