EAST DEKALB
NPI 1447395488
Community/Behavioral Health in Lithonia, GA

NPI Status: Active since February 20, 2007

Contact Information

2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA
ZIP 30058
Phone: (770) 270-2710
Fax: (770) 270-2714

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  • Organization
  • Community/Behavioral Health

About EAST DEKALB

This page provides the complete NPI Profile along with additional information for East Dekalb, a provider established in Lithonia, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1447395488 assigned on February 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is East Dekalb. The authorized official of this NPI record is Fabio Bruno Van Der Merwe (Ceo)

NPI
1447395488
Provider Legal Name
DEKALB COMMUNITY SERVICE BOARD
Other Organization Name
EAST DEKALB
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2277 STONE MOUNTAIN LITHONIA RD LITHONIA, GA 30058
Location Phone
(770) 270-2710
Location Fax
(770) 270-2714
Mailing Address
445 WINN WAY FL 4 DECATUR, GA 30030
Mailing Phone
(404) 294-3836
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-20-2007
Last Update Date
09-06-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FABIO BRUNO VAN DER MERWE

Authorized Official Title
CEO
Authorized Official Phone
(404) 294-3836

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447395488
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24876910416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 6 + 9 + 1 + 0 + 4 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1447395488 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568576395 ROSEMARY C POPP DDS
Individual
Dentist (General Practice)2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1003912155DEKALB COUNTY BOARD OF HEALTH
Organization
Public Health or Welfare2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1083798987 CHRISTINE M. PALOMINO RN
Individual
Registered Nurse2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1437233442 MARSHA DARNELL CANNING LD
Individual
Dietitian, Registered2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2615
1306920327 JULIE CARALEE PAYNE RD, LD
Individual
Dietitian, Registered2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1780768663 ELLEN SURATT STANBACK RD,LD,CLC
Individual
Dietitian, Registered2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1316026644 CATHERINE M YOUNGBLOOD RN
Individual
Registered Nurse2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1124107412 LISA J WOLFGANG RN
Individual
Registered Nurse2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1710066022 TONYA ALICIA ANDERSON-JACKSON RN
Individual
Registered Nurse2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1588733844 DONNETTE PORTER RN
Individual
Registered Nurse2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1235298548MRS. SHARON DENISE HICKS RN
Individual
Registered Nurse2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1851641005MRS. PAMELA ODUM LEONARD RN
Individual
Registered Nurse2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1003167669 AYANNA TENAY HARRIS LPN
Individual
Licensed Practical Nurse2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2600
1326261751 CAROLYN RICHARDSON-ATUBEH LCSW
Individual
Social Worker (Clinical)2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058
(770) 484-2948

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447395488, enumerated in the NPI registry as an "organization" on February 20, 2007

The provider is located at 2277 Stone Mountain Lithonia Rd Lithonia, Ga 30058 and the phone number is (770) 270-2710

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on February 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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