PRISCILLA B FAULKNER (PSYD) – Psychologist, NPI 1366579773

PRISCILLA B FAULKNER (PSYD) is a healthcare provider. based in Covington, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. PSY002144 (GA). The NPI Number for PRISCILLA B FAULKNER (PSYD) is 1366579773

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
PRISCILLA B FAULKNER (PSYD)
NPI
1366579773
Phone
(678) 712-6520
Address
3155 MILL STREET
Enumeration Date
27 February 2007
Last Update Date
18 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6787126520
Graduation Year
1996 (30 years ago)
PAC ID
0840397014
Group Practice PAC ID
9537320254
Professional Enrollment ID
I20120502000735
Address ID
GA300142542CO3155XNEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

482 CLINICAL PSYCHOLOGIST in GA

Provider Addresses for PRISCILLA B FAULKNER (PSYD)

  • 3155 MILL STREET

    COVINGTON, GA 300142542

    Phone: (678) 712-6520

    Fax: (678) 712-6521

    Mailing address matches the actual address.

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: 2012-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20120502000735IClinical PsychologistGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour24814$0
View full utilization report →

Insurance plans in this area (ZIP 30014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537320254View full group profile

Reviews

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Frequently asked questions

Can I cross-check PRISCILLA B FAULKNER (PSYD) using NPI 1366579773?
NPI 1366579773 belongs to PRISCILLA B FAULKNER (PSYD); compare other details if you need extra assurance.
Is there an active status for PRISCILLA B FAULKNER (PSYD)?
For scheduling context, PRISCILLA B FAULKNER (PSYD) is shown as active in the registry.
What area of care is associated with PRISCILLA B FAULKNER (PSYD)?
PRISCILLA B FAULKNER (PSYD)'s record emphasizes Psychologist. Clinical services aligned with this taxonomy classification.
Is PRISCILLA B FAULKNER (PSYD) located near Covington?
PRISCILLA B FAULKNER (PSYD) currently maps to Covington, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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