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FALLON WORTHAM
NPI 1346010899
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA

Active since January 05, 2024
110 BRAXTON CT, FAYETTEVILLE, GA 30214(770) 461-6422 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fallon Wortham NPPES

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

FALLON WORTHAM (NPI 1346010899) is an individual psychiatric/mental health provider in Fayetteville, Georgia, licensed in Georgia (191643) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1346010899
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFALLON WORTHAM
Location Address110 BRAXTON CTFayetteville, GA 30214-1968
Mailing Address9 Pine Grove CirNewnan, GA 30263-2897 · (678) 516-1160
Phone(770) 461-6422
Sole ProprietorNo
Enumeration DateJanuary 5, 2024
NPPES CertifiedJanuary 5, 2024
✔ NPI 1346010899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · 191643
110 BRAXTON CT, Fayetteville, GA 30214
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Other Providers at the Same Location NPPES 6

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

DR. OLUFEMI ABIODUN TAIWO M.D
Psychiatry & Neurology (Child & Adolescent Psychiatry)
110 BRAXTON CT
FAYETTEVILLE, GA 30214
Fayette County (678) 610-7100
MELISA PHILATRE FNP-BC
Nurse Practitioner (Family)
110 BRAXTON CT
FAYETTEVILLE, GA 30214
Fayette County (770) 461-6422
SOUTHERN BEHAVIORAL HEALTHCARE,P.C
Psychiatry & Neurology (Child & Adolescent Psychiatry)
110 BRAXTON CT
FAYETTEVILLE, GA 30214
Fayette County (678) 610-7100
MRS. CHARITY NIKOLE ROSEBERRY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
110 BRAXTON CT
FAYETTEVILLE, GA 30214
Fayette County (770) 461-3065
CARLA ANN ALEXANDER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
110 BRAXTON CT
FAYETTEVILLE, GA 30214
Fayette County (770) 461-6422
AMIA LYNN WASHINGTON NP
Nurse Practitioner (Psychiatric/Mental Health)
110 BRAXTON CT
FAYETTEVILLE, GA 30214
Fayette County (770) 461-6422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fallon Wortham's NPI number?

The NPI number for Fallon Wortham is 1346010899. It was assigned to this individual provider in the NPPES registry on January 5, 2024.

Where is Fallon Wortham located?

Fallon Wortham practices at 110 Braxton Ct, Fayetteville, GA 30214. The listed phone number is (770) 461-6422.

What is Fallon Wortham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Fallon Wortham was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.