NICOLE G FALL
NPI 1508497298
Counselor - Mental Health in Dillon, SC

Active since January 31, 2020PECOS Enrolled
1324 COMMERCE DRIVE, DILLON, SC 29536(843) 544-4060 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2025, Jan 31, 2020 (2 updates tracked since 2020).

About Nicole G Fall NPPES

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

NICOLE G FALL (NPI 1508497298) is an individual mental health provider in Dillon, South Carolina, licensed in South Carolina (10008) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508497298
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE G FALL
Location Address1324 COMMERCE DRIVEDillon, SC 29536
Mailing AddressPo Box 918Bennettsville, SC 29512 · (843) 544-4060
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 31, 2020
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
NPI 1508497298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in SC · 10008
1324 COMMERCE DRIVE, Dillon, SC 29536

Other Identifiers 1

Medicaid405127SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole G Fall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587169206
PECOS Enrollment IDI20250924002414
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 14

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

Registered Nurse (Psychiatric/Mental Health)
1324 COMMERCE DRIVE
DILLON, SC 29536
Counselor
1324 COMMERCE DRIVE
DILLON, SC 29536
Counselor (Mental Health)
1324 COMMERCE DRIVE
DILLON, SC 29536
Counselor
1324 COMMERCE DRIVE
DILLON, SC 29536
Counselor
1324 COMMERCE DRIVE
DILLON, SC 29536
Counselor
1324 COMMERCE DRIVE
DILLON, SC 29536
Counselor (Mental Health)
1324 COMMERCE DRIVE
DILLON, SC 29536
Counselor
1324 COMMERCE DRIVE
DILLON, SC 29536

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 Nicole Fall's NPI number?

The NPI number for Nicole Fall is 1508497298. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Where is Nicole Fall located?

Nicole Fall practices at 1324 Commerce Drive, Dillon, SC 29536. The listed phone number is (843) 544-4060.

What is Nicole Fall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Fall enrolled in Medicare?

Yes. Nicole Fall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Fall was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.