Doctor profile · Federal record
Dr. Stephen Nickisch, M.D.
Obstetrics & Gynecology Physician (CMS: Obstetrics/Gynecology) · Saint Marys, GA
- NPI 1578596615
- Accepts Medicare
- 36 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2060 Dan Proctor Dr, Suite 1200
Saint Marys, GA 315583894
(912) 540-6750
fax (912) 540-6773 - Additional location
-
500 W Broadway St Fl 4Bb
Missoula, MT 598024008
(406) 329-5828 - Mailing address
-
2060 Dan Proctor Dr Ste 1200
Saint Marys, GA 315583895
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- December 9, 2025
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State license (1)
- Montana #10278
- Medicaid
- MT #0093279
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578596615. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inari Medical, Inc. | 1 | $17.23 |
By nature of payment
Frequently asked questions
What is Dr. Stephen Nickisch's medical specialty?
Dr. Stephen Nickisch practices Obstetrics & Gynecology Physician in Saint Marys, GA.
Where does Dr. Stephen Nickisch practice?
Dr. Stephen Nickisch practices at 2060 Dan Proctor Dr, Saint Marys, GA 315583894. Office phone: 9125406750.
What is Dr. Stephen Nickisch's NPI?
Dr. Stephen Nickisch's National Provider Identifier (NPI) is 1578596615, issued by NPPES.
Does Dr. Stephen Nickisch accept Medicare assignment?
Yes. Dr. Stephen Nickisch accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.