George Adam Gaither, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

99062803A Issued in IN

Practice address

2205 N Wheeling Ave
Muncie, IN 47303-1602

Phone

(765) 287-1922

Fax

(765) 287-9017

NPI assigned

Jul 18, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Still Waters HoldingsGroup PAC ID 3476928060, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Still Waters Holdings

  • Mental Health Counselor
  • Muncie, IN
  • NPI 1730116187
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1174930499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031602",
            "telephone_number": "765-287-1922",
            "fax_number": "765-287-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031602",
            "telephone_number": "765-287-1922",
            "fax_number": "765-287-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITHER",
        "first_name": "GEORGE",
        "middle_name": "ADAM",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "99062803A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Michele Fultz, M.A.
• Jamie Rene Gabbard, AU.D.
• Venkat Narsimha Reddy Gaddam, MD
• Emily Gadziola
• Gregory K Gahl, MD
• Savannah Christine Gaither, RDN
• Michael J Gallagher, MD
• Kourtney Marie Gallegos, MSW
• Cynthia Galvez
• Christopher D Gamble, M.D.

• Clinical Psychologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.