DR. GERALD F. FALLS (PHD) – Clinical Psychologist, NPI 1104887512

DR. GERALD F. FALLS (PHD) is a healthcare provider. based in Atlanta, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PSY001085 (GA). The NPI Number for DR. GERALD F. FALLS (PHD) is 1104887512

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. GERALD F. FALLS (PHD)
NPI
1104887512
Phone
(850) 443-5936
Address
1506 Kay Ln NE
Enumeration Date
28 March 2006
Last Update Date
4 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504435936
Graduation Year
1980 (46 years ago)
PAC ID
4587692884
Professional Enrollment ID
I20231021000348
Address ID
FL323123732TA1922XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

482 CLINICAL PSYCHOLOGIST in GA

Provider Addresses for DR. GERALD F. FALLS (PHD)

  • 1506 Kay Ln NE

    Atlanta, GA 303062108

    Phone: (850) 443-5936

    Type: Location

  • 1083 Webster Rd

    Quitman, GA 316436163

    Phone: (850) 443-5936

    Type: Location

  • 1922 WILLOW RUN DR

    TALLAHASSEE, FL 323123732

    Phone: (850) 443-5936

    Type: Mailing

  • 602, Victoria Place, Fletcherville, Thomasville, Thomas County, Georgia, 31792, United States

    P.O. BOX 1714

    THOMASVILLE, GA 317991714

    Phone: (850) 443-5936

    Fax: (229) 225-1519

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050728000584IClinical PsychologistGATBD
I20221028001863IClinical PsychologistFLTBD
I20231021000348IPsychologist Billing IndependentlyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30306)

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Reviews

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Frequently asked questions

Does DR. GERALD F. FALLS (PHD) have a public NPI I can cite?
Public records show DR. GERALD F. FALLS (PHD) under NPI 1104887512.
Is DR. GERALD F. FALLS (PHD)'s NPI status active today?
Active status means DR. GERALD F. FALLS (PHD)'s NPI record is not deactivated in the public file.
What services align with DR. GERALD F. FALLS (PHD)'s listing?
DR. GERALD F. FALLS (PHD)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. GERALD F. FALLS (PHD) tied to Atlanta, Georgia?
If you are local to Atlanta, Georgia, DR. GERALD F. FALLS (PHD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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