P Praxis·MD
● Active Type 1 · Individual

Teresa Nicholson, CNM

Advanced Practice Midwife·Saint Marys, GA· NPI 1184972887 · Enumerated 2012 · 13 years on NPI
Nicholson is 1 of 6 advanced practice midwife providers in Saint Marys and 1 of 546 in Georgia.
NPI age
13 years
Enumerated 2012-08-28
Primary specialty
Advanced Practice Midwife
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-12-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 546 active advanced practice midwife providers in Georgia.

NPI age
13 years
≈ at median (12 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-08Enumerated in NPPES
2012 2026

Where they practice

Practice location
104 Lakeshore Dr, Ste A
Saint Marys, GA 315583803
📞 9128827100fax 9128829149
Mailing address
104 Lakeshore Dr, Ste A
Saint Marys, GA 315583803
📞 9128827100fax 9128829149

Specialties

  • Advanced Practice Midwife Primary
    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...
    GA license #RN103935 taxonomy 367A00000X
  • Registered Nurse
    Definition to come...
    GA license #RN103935 taxonomy 163WG0000X

Identifiers

TypeValueNotes
05 (GA) 003127951A
01 (GA) 202I422481 MEDICARE PTAN
05 (GA) 003127951B

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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