DEKALBCOMMUNITYSERVICEBOARD
NPI 1457565541
Health Maintenance Organization in Stone Mountain, GA

Active since May 09, 2007
1662 KANAWHA DR, STONE MOUNTAIN, GA 30087(404) 243-9500(404) 244-2224 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dekalbcommunityserviceboard NPPES

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

DEKALBCOMMUNITYSERVICEBOARD (NPI 1457565541) is a healthcare organization registered as a health maintenance organization in Stone Mountain, Georgia and active in the NPI registry since May 2007. The organization lists Doddametikur S Siddappa, Staff Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1457565541
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameDEKALBCOMMUNITYSERVICEBOARD
Location Address1662 KANAWHA DRStone Mountain, GA 30087-2116
Mailing Address1662 Kanawha DrStone Mountain, GA 30087-2116 · (404) 243-9500 · Fax (404) 244-2224
Fax(404) 244-2224
Organization SubpartNo
Authorized OfficialDoddametikur S SiddappaStaff Psychiatrist · (404) 243-9500
Enumeration DateMay 9, 2007
Last NPPES UpdateDecember 4, 2007
NPI 1457565541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License Licensed in GA · 021810
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
1662 KANAWHA DR, Stone Mountain, GA 30087

Other Identifiers 1

Medicare ID-Type Unspecified26BDHWGA

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 Dekalbcommunityserviceboard's NPI number?

The NPI number for Dekalbcommunityserviceboard is 1457565541. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Dekalbcommunityserviceboard located?

Dekalbcommunityserviceboard is located at 1662 Kanawha Dr, Stone Mountain, GA 30087. The listed phone number is (404) 243-9500.

What is Dekalbcommunityserviceboard's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

When was this NPI record last updated?

The NPPES record for Dekalbcommunityserviceboard was last updated on December 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.