TERESA NICHOLSON (NPI# 1184972887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184972887 |
| Entity Type | Individual |
| Full Name | TERESA NICHOLSON |
| Credential | CNM |
| Practice Address |
104 Lakeshore Dr Ste A Saint Marys GA 31558-3803 |
| Practice Telephone | 9128827100 |
| Practice Fax Number | 9128829149 |
| Mailing Telephone | 9128827100 |
| Mailing Fax Number | 9128829149 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN103935 | GA | Nursing Service Providers |
| Y | 367A00000X | Advanced Practice Midwife | RN103935 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202I422481 | 01 |
| GA | 003127951A | 05 | |
| GA | 003127951B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437108990 | Teresa Ann Nicholson | Dentist | 200 E Mcgalliard Rd, Muncie, IN 47303-2009 | 2006-05-10 |
| 1881220051 | Teresa L Dominique Nicholson | Social Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-03-19 |
| 1316437122 | Teresa Nicholson | Registered Nurse | 175 Kirkland Rd, Covington, GA 30016-3317 | 2018-05-16 |
| 1528456134 | Teresa Nicholson | Counselor | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2015-01-05 |
| Street Address |
104 LAKESHORE DR STE A |
| City | SAINT MARYS |
| State | GA |
| Zip Code | 31558-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912904459 | Robert David Mixson | Specialist | 104 Lakeshore Dr, Ste A, Saint Marys, GA 31558-3803 | 2005-06-30 |
| 1396115747 | Sonya L Cowart | Counselor | 104 Lakeshore Dr, Ste D, Saint Marys, GA 31558-3803 | 2015-09-29 |
| 1316373178 | Bonnie Renee Spencer | Counselor | 104 Lakeshore Dr, Suite D, Saint Marys, GA 31558-3803 | 2013-09-24 |
| 1659620631 | Patricia Ann Heinrich | Advanced Practice Midwife | 104 Lakeshore Dr, Ste. A, Saint Marys, GA 31558-3803 | 2012-09-05 |
| 1457501645 | Jacqueline Frances Sahrphillips | Advanced Practice Midwife | 104 Lakeshore Dr, Suite A, Saint Marys, GA 31558-3803 | 2008-09-24 |
| 1326209859 | Robert D. Mixson Md Pa A Georgia Corp | Obstetrics & Gynecology | 104 Lakeshore Dr, Ste A, Saint Marys, GA 31558-3803 | 2008-06-18 |
| 1134398159 | Delma Christine Jay | Counselor | 104 Lakeshore Dr, Saint Marys, GA 31558-3803 | 2008-02-23 |
| 1336318542 | Coastal Counseling Center, Inc. | Community/Behavioral Health | 104 Lakeshore Dr, Suite D, Saint Marys, GA 31558-3803 | 2008-02-22 |
| 1003018714 | Cj Mathis | Specialist/Technologist, Other | 104 Lakeshore Dr, Suite B, Saint Marys, GA 31558-3803 | 2007-06-04 |
| 1013132851 | Margaret Mary D'amato | Social Worker | 104 Lakeshore Dr, Saint Marys, GA 31558-3803 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1922659192 | Christian Bianca Booker | Social Worker | 944 Kings Bay Rd. #247, St. Marys, GA 31558 | 2019-09-27 |
| 1154897296 | Shonta Harper | Counselor | 708 Osborne St Ste 104, Saint Marys, GA 31558 | 2018-10-16 |
| 1174038095 | Camden Behavioral Wellness, Inc | Counselor | 605 Osborne Street, Saint Mary's, GA 31558 | 2017-12-14 |
| 1285149427 | Urgent Care of Coastal Georgia | General Practice | 214 A Professional Circle, St. Marys, GA 31558 | 2017-12-11 |
| 1679975783 | Jeremy Cole | Behavioral Analyst | 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 | 2014-09-19 |
| 1053660738 | Janice Paulino Ramirez | Nurse Practitioner | 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 | 2012-09-10 |
| 1174899454 | Light Horse Healthcare Inc | Voluntary or Charitable | 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 | 2012-03-30 |
| 1316215775 | Annette O. Perry | Counselor | 4019 Hwy 40 East, St. Marys, GA 31558 | 2011-12-13 |
| 1932486271 | Sarah Jo Meyers | Speech-Language Pathologist | 2015 Osborne Rd, Unit A, St Marys, GA 31558 | 2011-11-15 |
| Find all providers in zip 31558 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255894598 | Marianne Ruth Voigt | Advanced Practice Midwife | 1067 Hager St, Saint Marys, OH 45885-2422 | 2019-04-12 |
| 1518498286 | Bethany Norman Ware | Advanced Practice Midwife | 2060 Dan Proctor Dr Ste 1800, Saint Marys, GA 31558-4324 | 2017-03-24 |
| 1962882449 | Kelly A. Wilkinson | Advanced Practice Midwife | 1067 Hager St, Grand Lake Ob/gyn, Saint Marys, OH 45885-2422 | 2015-06-01 |
| 1659620631 | Patricia Ann Heinrich | Advanced Practice Midwife | 104 Lakeshore Dr, Ste. A, Saint Marys, GA 31558-3803 | 2012-09-05 |
| 1457501645 | Jacqueline Frances Sahrphillips | Advanced Practice Midwife | 104 Lakeshore Dr, Suite A, Saint Marys, GA 31558-3803 | 2008-09-24 |
| 1528257268 | Cynthia R Wallace | Advanced Practice Midwife | 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894 | 2007-10-18 |
| 1972664670 | Joanne Altringer | Advanced Practice Midwife | 202 Lakeshore Drive, Suite A, Saint Marys, GA 31558 | 2006-12-13 |
| 1497780233 | Bridget E Heckler | Advanced Practice Midwife | 1067 Hager St, Grand Lake Ob/gyn, Saint Marys, OH 45885-2422 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352530 | Grace Midwifery & Women's Health | Advanced Practice Midwife | 4056 Wetherburn Way Ste 200, Peachtree Corners, GA 30092-1881 | 2020-09-30 |
| 1235766205 | Janet Simone Parks | Advanced Practice Midwife | 340 Boulevard Ne Ste 103, Atlanta, GA 30312-1278 | 2020-03-26 |
| 1215576632 | Angela Wilder Huber | Advanced Practice Midwife | 917 W Gordon St Ste A, Thomaston, GA 30286-3427 | 2020-01-02 |
| 1205472313 | Stephanie Lagoldia Cox | Advanced Practice Midwife | 5395 Jimmy Carter Blvd Ste 500, Norcross, GA 30093-1502 | 2019-11-24 |
| 1679047005 | Laura J Wallace | Advanced Practice Midwife | 115 Eagle Spring Dr Ste A200, Stockbridge, GA 30281-6486 | 2019-01-18 |
| 1740774470 | Linda Gail Legault | Advanced Practice Midwife | 2135 Independence Ln, Buford, GA 30519-8068 | 2018-06-16 |
| 1053812362 | Jacqueline Clubine | Advanced Practice Midwife | 285 Boulevard Ne Ste 520, Atlanta, GA 30312-4211 | 2018-02-22 |
| 1740793652 | Kwajalein Rontoya Cleveland | Advanced Practice Midwife | 550 Peachtree St Ne Ste 1165, Atlanta, GA 30308-2235 | 2017-11-14 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1003280215 | Vanessa Treaster | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290-2178 | 2015-11-26 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MARYS |
| Zip Code | 31558 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.