SAMUEL MACDONALD FALLON MD
NPI 1093652828
Student in an Organized Health Care Education/Training Program in Nashville, TN

Q: What is Samuel Fallon's NPI number?

The NPI number for Samuel Fallon is 1093652828. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Q: What is Samuel Fallon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Fallon was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 30, 2026PECOS Enrolled

719 THOMPSON LN STE 20400, NASHVILLE, TN 37204(615) 936-2187(615) 936-3156 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samuel Macdonald Fallon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL MACDONALD FALLON MD (NPI 1093652828) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093652828

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL MACDONALD FALLONCredential: MD

Location Address719 THOMPSON LN STE 20400Nashville, TN 37204-4600

Mailing Address719 Thompson Ln Ste 20400Nashville, TN 37204-4600 · (615) 936-2187 · Fax (615) 936-3156

Phone(615) 936-2187

Fax(615) 936-3156

Sole ProprietorYes

Enumeration DateApril 30, 2026

NPPES CertifiedApril 30, 2026

✔ NPI 1093652828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

719 THOMPSON LN STE 20400, Nashville, TN 37204

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Macdonald Fallon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHANIEL KARL BERG

Student in an Organized Health Care Education/Training Program