DEKALB COMMUNITY SERVICE BOARD
NPI 1073686978
Community/Behavioral Health in Decatur, GA
About Dekalb Community Service Board NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEKALB COMMUNITY SERVICE BOARD (NPI 1073686978) is a healthcare organization registered as a community/behavioral health in Decatur, Georgia and active in the NPI registry since November 2006. The organization lists Fabio Bruno Van Der Merwe, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dekalb Community Service Board is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Dekalb Community Service Board, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dekalb Community Service Board's NPI number?
The NPI number for Dekalb Community Service Board is 1073686978. It was assigned to this organization in the NPPES registry on November 16, 2006.
Where is Dekalb Community Service Board located?
Dekalb Community Service Board is located at 445 Winn Way, Decatur, GA 30030. The listed phone number is (404) 294-3836.
What is Dekalb Community Service Board's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Dekalb Community Service Board enrolled in Medicare?
Yes. Dekalb Community Service Board is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dekalb Community Service Board?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Dekalb Community Service Board. A 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 the clinician's services. The largest specialties are Mental Health Counselor (5), Nurse Practitioner (4) and Psychiatry (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dekalb Community Service Board was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dekalb Community Service Board · NPI 1073686978
Community/Behavioral Health organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since November 16, 2006.
## Identity
- **NPI:** 1073686978 (Entity type: Organization)
- **Enumerated:** November 16, 2006
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Fabio Van Der Merwe, COO
## Practice location
- **Address:** 445 WINN WAY, Decatur, GA 30030-1707
- **Phone:** (404) 294-3836
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (5), Nurse Practitioner (4), Psychiatry (1); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1073686978) · Data from the CMS NPPES public registry.