GEORGE ADAM GAITHER (PHD) – Clinical Psychologist, NPI 1174930499

GEORGE ADAM GAITHER (PHD) is a healthcare provider. based in Muncie, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 99062803A (IN). The NPI Number for GEORGE ADAM GAITHER (PHD) is 1174930499

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE ADAM GAITHER (PHD)
NPI
1174930499
Phone
(765) 287-1922
Address
2205 N WHEELING AVE
Enumeration Date
18 July 2014
Last Update Date
6 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7652840043
Graduation Year
2000 (26 years ago)
PAC ID
9436476280
Group Practice PAC ID
3476928060
Professional Enrollment ID
I20150316002531
Address ID
IN473046356MU3301XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

450 CLINICAL PSYCHOLOGIST in IN

Provider Addresses for GEORGE ADAM GAITHER (PHD)

  • 2205 N WHEELING AVE

    MUNCIE, IN 473031602

    Phone: (765) 287-1922

    Fax: (765) 287-9017

    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: 2015-03-16

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
I20150316002531IClinical PsychologistINTBD

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 47303)

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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: 3476928060View full group profile
NameSpecialtyState
Clinical PsychologistIN
Marriage And Family TherapistLA
Clinical Social WorkerIN
Marriage And Family TherapistIN
Mental Health CounselorIN

Reviews

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Frequently asked questions

Is there an official ID for GEORGE ADAM GAITHER (PHD) in U.S. healthcare records?
The official identifier for GEORGE ADAM GAITHER (PHD) is NPI 1174930499.
Active or inactive — what applies to GEORGE ADAM GAITHER (PHD)?
You should see GEORGE ADAM GAITHER (PHD) as active in CMS-hosted NPPES data.
What area of care is associated with GEORGE ADAM GAITHER (PHD)?
GEORGE ADAM GAITHER (PHD)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Indiana is GEORGE ADAM GAITHER (PHD) registered?
Use Muncie, Indiana as the headline location for GEORGE ADAM GAITHER (PHD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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