NPI age
19 years
Enumerated 2006-07-09
● Active
Type 1 · Individual
Stephen A Nickisch, M.D.
Nickisch is 1 of 9 obstetrics & gynecology providers in Saint Marys and 1 of 1893 in Georgia.
Primary specialty
Obstetrics & Gynecology
Licensed in
MT
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1893 active obstetrics & gynecology providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
2060 Dan Proctor Dr, Suite 1200
Saint Marys, GA 315583894
Mailing address
2060 Dan Proctor Dr Ste 1200
Saint Marys, GA 315583895
Additional practice locations
1 secondary location on file with NPPES.
Location 2
500 W Broadway St Fl 4bb
Missoula, MT 598024008
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 000099105 | BCBS |
| 05 (MT) | 0093279 |
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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