DR. KEITH JAMES FALLON PSY.D.
NPI 1770635401
Psychologist in Conyers, GA
About Dr. Keith James Fallon Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEITH JAMES FALLON PSY.D. (NPI 1770635401) is an individual psychologist in Conyers, Georgia, licensed in Georgia (PSY002856) and active in the NPI registry since January 2007. He is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Keith James Fallon Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Keith Fallon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Conyers, GA 30012
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Keith Fallon's NPI number?
The NPI number for Keith Fallon is 1770635401. It was assigned to this individual provider in the NPPES registry on January 16, 2007.
Where is Keith Fallon located?
Keith Fallon practices at 1100 Green St SW, Conyers, GA 30012. The listed phone number is (404) 502-5824.
What is Keith Fallon's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Keith Fallon enrolled in Medicare?
Yes. Keith Fallon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Keith Fallon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Fallon reassigns Medicare benefits to Keith Fallon, Psy.D., P.C. (Conyers, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Fallon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Fallon accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Keith Fallon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Keith Fallon was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.