JACOB DEBELLIS MD, MS
NPI 1245972116
Student in an Organized Health Care Education/Training Program in Savannah, GA

Q: What is Jacob Debellis's NPI number?

The NPI number for Jacob Debellis is 1245972116. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Q: What is Jacob Debellis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Debellis was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 11, 2022PECOS EnrolledAccepts Medicare Assignment

601 E 66TH ST, SAVANNAH, GA 31405(912) 662-0088 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, Apr 11, 2022 (2 updates tracked since 2022).

On this page

About Jacob Debellis Md, Ms NPPES

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

JACOB DEBELLIS MD, MS (NPI 1245972116) is an individual student in an organized health care education/training program in Savannah, Georgia, licensed in Georgia (100299) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245972116

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACOB DEBELLISCredential: MD, MS

Location Address601 E 66TH STSavannah, GA 31405-4519

Mailing Address601 E 66th StSavannah, GA 31405-4519 · (614) 207-2888

Phone(912) 662-0088

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 11, 2022

Last NPPES UpdateJune 5, 20242 updates tracked since enumeration

NPPES CertifiedAugust 11, 2022

✔ NPI 1245972116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in GA · 100299

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

601 E 66TH ST, Savannah, GA 31405

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Debellis Md, Ms 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.

PECOS PAC ID4789128802

PECOS Enrollment IDI20240701001313

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 20

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

NISHA BEARD

Psychiatry & Neurology (Psychiatry)