DR. PAUL ANDREW III WALTERS (PH.D.) – Clinical Psychologist, NPI 1477546190
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
482 CLINICAL PSYCHOLOGIST in GA
Provider Addresses for DR. PAUL ANDREW III WALTERS (PH.D.)
3333, Walton Way, Forest Estates, Augusta, Richmond County, Georgia, 30909, United States
AUGUSTA, GA 309094529
Phone: (706) 729-9595
Fax: (706) 729-0332
Type: Mailing
3643 WALTON WAY EXT
AUGUSTA, GA 309094507
Phone: (706) 729-9595
Fax: (706) 729-0332
Type: Location
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.
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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: 2012-06-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120627000513 | I | Clinical Psychologist | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 280 | 23 | $0 |
Insurance plans in this area (ZIP 30909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | GA | |
| Clinical Psychologist | GA | |
| Clinical Psychologist | GA |
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