Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770635401 Individual Practitioner Male Practitioner

Dr. Keith James Fallon , PsyD

Psychologist • Conyers, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Keith Fallon, PsyD is a certified Psychologist practicing in Conyers, GA. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Fallon delivers high-quality medical care to the local community at 1100 GREEN ST SW.

Dr. Fallon accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1100 Green St Sw

Conyers, GA 300125220

Telephone 4045025824
Associated Practice Facility / Clinic
🏢 Keith Fallon, Psy.d., P.c. Facility NPI 1801947569

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Conyers, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs Matches City Avg
City Avg: 25.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Conyers, GA (941 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fallon (25 Years) 25 Yrs
Conyers Specialty Average (25.0 Years) 25.0 Yrs

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License GA PSY002856

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
375822929A (GA)
Medicaid State Provider ID
375822929B (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. David Yarbrough , PhD

Psychologist - Clinical

NPI 1407908551

Doctor of Philosophy (Ph.D.)

Dr. Douglas Slavin , PhD

Psychologist - Clinical

NPI 1750311890

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2015

Registered at 1100 GREEN ST SW, CONYERS, GA 300125220 (Tel: 4045025824)

📍
Updated Business Mailing Address January 21, 2015

Registered at PO BOX 1790, CONYERS, GA 300127964 (Tel: 4045025824)

👤
Provider Name / Credentials Updated January 21, 2015

Recorded as KEITH FALLON, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2015

Psychologist (License #PSY002856 in GA)

🟢
Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770635401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: January 21, 2015
Sole Proprietor: No

Mailing Address

Po Box 1790

Conyers, GA 300127964

Phone: 4045025824

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.