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

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: October 25, 2026.

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

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
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

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

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Debellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Based Residential Treatment Facility, Mental Illness
121 BURGESS RD
Brunswick, GA 31523
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Gateway Community Service Board
  • 70 clinicians in this Medicare group

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 20

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

Psychiatry & Neurology (Psychiatry)
601 E 66TH ST
SAVANNAH, GA 31405
Student in an Organized Health Care Education/Training Program
601 E 66TH ST
SAVANNAH, GA 31405
Student in an Organized Health Care Education/Training Program
601 E 66TH ST
SAVANNAH, GA 31405
Psychiatry & Neurology (Psychiatry)
601 E 66TH ST
SAVANNAH, GA 31405
Student in an Organized Health Care Education/Training Program
601 E 66TH ST
SAVANNAH, GA 31405
Student in an Organized Health Care Education/Training Program
601 E 66TH ST
SAVANNAH, GA 31405
Psychiatry & Neurology (Psychiatry)
601 E 66TH ST
SAVANNAH, GA 31405
Psychiatry & Neurology (Psychiatry)
601 E 66TH ST
SAVANNAH, GA 31405

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 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.

Where is Jacob Debellis located?

Jacob Debellis practices at 601 E 66th St, Savannah, GA 31405. The listed phone number is (912) 662-0088.

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.

Is Jacob Debellis enrolled in Medicare?

Yes. Jacob Debellis 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 Jacob Debellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Debellis reassigns Medicare benefits to Gateway Behavioral Health Services (Brunswick, 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 Jacob Debellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Debellis accept?

Health plans from Oscar Health list Jacob Debellis 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 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.