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ELIJAH DEBROUX MD
NPI 1992384861
Student in an Organized Health Care Education/Training Program in Macon, GA

Active since April 06, 2021PECOS Enrolled
777 HEMLOCK STREET LN, MACON, GA 31201(478) 633-1000 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2021, Apr 6, 2021 (2 updates tracked since 2021).

About Elijah Debroux Md NPPES

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

ELIJAH DEBROUX MD (NPI 1992384861) is an individual student in an organized health care education/training program in Macon, Georgia and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1992384861
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELIJAH DEBROUXCredential: MD
Location Address777 HEMLOCK STREET LNMacon, GA 31201-2168
Mailing Address777 Hemlock StMacon, GA 31201-2102
Phone(478) 633-1000
Sole ProprietorNo
Enumeration DateApril 6, 2021
Last NPPES UpdateJune 20, 20222 updates tracked since enumeration
NPPES CertifiedJune 20, 2022
✔ NPI 1992384861 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
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.
777 HEMLOCK STREET LN, Macon, GA 31201
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Secondary Practice Location 1

Location 1979 E 3rd St Ste B-401Chattanooga, TN 37403-2136 · Phone (423) 778-7695

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elijah Debroux Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Elijah Debroux's NPI number?

The NPI number for Elijah Debroux is 1992384861. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Elijah Debroux located?

Elijah Debroux practices at 777 Hemlock Street Ln, Macon, GA 31201. The listed phone number is (478) 633-1000.

What is Elijah Debroux's specialty?

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

Is Elijah Debroux enrolled in Medicare?

Yes. Elijah Debroux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elijah Debroux was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.