NPIMap

Organization Active NPI

Dekalb Medical Center, Inc.

Doing business as Emory Decatur Hospital

  • General Acute Care Hospital
  • Decatur, GA
National Provider Identifier
1093716979
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
044039 Issued in GA
Legal business name
DEKALB MEDICAL CENTER, INC.
Doing business as
Emory Decatur Hospital
Practice address
2701 N Decatur Rd
Decatur, GA 30033-5918
Phone
(404) 501-1000
NPI assigned
Aug 2, 2005
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carla D Cashio
Title
Corporate Director
Phone
(404) 686-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 044039 GA Primary

Addresses

Primary practice location

2701 N Decatur Rd
Decatur, GA 30033-5918

Mailing address

2701 N Decatur Rd Ste 1003B
Decatur, GA 30033-5918
Phone (404) 501-5025

Other identifiers 2

IdentifierTypeStateIssuer
100047OtherGABCBS PROVIDER NUMBER
000000536AMedicaidGA

Other names 1

  • Emory Decatur Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080311000718 GA Part A Provider - Hospital 9032192885 Practice locations: Decatur, GA
O20080311000767 GA Part A Provider - Hospital 9032192885 1 other NPI on this enrollment
Practice locations: Decatur, GA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1093716979. Details of each certification follow.

Hospital certification: CCN 110076

Legal name
DEKALB MEDICAL CENTER, INC
Doing business as
EMORY DECATUR HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 21, 2025
Beds
451
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 9, 1991 in GA
Enrollment address
2701 N Decatur Rd
Decatur, GA 30033-5918
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit

Hospital certification: CCN 11T076

Legal name
DEKALB MEDICAL CENTER, INC
Doing business as
EMORY DECATUR HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 2018 in GA
Enrollment address
2701 N Decatur Rd
Decatur, GA 30033-5918
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Emory Decatur HospitalCCN 110076 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Emory Decatur HospitalCCN 11T076 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 1997

National Provider Directory

National Provider Directory

Locations

2701 N Decatur Rd
Ste 1003B
Decatur, GA 30033

5900 Hillandale Dr
Lithonia, GA 30058
Phone (404) 501-1000

Interoperability endpoints

  • Direct secure messaging: abhay.trivedi@gadirect.net
  • Direct secure messaging: anthony.dorsey@gadirect.net
  • Direct secure messaging: bakhtiar.ali@gadirect.net
  • Direct secure messaging: binu.kunjummen@gadirect.net
  • Direct secure messaging: caryn.johnson1@gadirect.net
  • Direct secure messaging: celia.mamby@gadirect.net
  • Direct secure messaging: christopher.haraszti@gadirect.net
  • Direct secure messaging: cyril.spann@gadirect.net
  • Direct secure messaging: damien.doute@gadirect.net
  • Direct secure messaging: david.song@gadirect.net
  • Direct secure messaging: david.suh@gadirect.net
  • Direct secure messaging: gertrude.anyakwo1@gadirect.net
  • Direct secure messaging: jayanthi.srinivasiah@gadirect.net
  • Direct secure messaging: jeff.traub@gadirect.net
  • Direct secure messaging: joe.woods@gadirect.net
  • Direct secure messaging: john.ruch@gadirect.net
  • Direct secure messaging: joseph.boveri@gadirect.net
  • Direct secure messaging: lambda.msezane1@gadirect.net
  • Direct secure messaging: lijo.simpson@gadirect.net
  • Direct secure messaging: linda.yan@gadirect.net

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carla Cashio Individual Corporate Director Aug 18, 2025
W-2 Managing EmployeeCorporate Director Aug 18, 2025
Dekalb Regional Health System Organization, Decatur, GA Non-profit 5% Or Greater Direct Ownership Interest Nov 12, 2007 100%
Jen Schuck Individual Corporate OfficerCeo May 1, 2023
W-2 Managing Employee May 1, 2023
W-2 Managing EmployeeCeo May 1, 2023
Emory Healthcare Inc Organization, Atlanta, GA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Lisa M Urbistondo Individual W-2 Managing EmployeeVP/Cfo Apr 22, 2024
Operational/Managerial ControlVP/Cfo Apr 22, 2024
Dekalb Medical Center, Inc Organization, Decatur, GA Non-profit 5% Or Greater Direct Ownership Interest Nov 12, 2007 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 135

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 135

Affiliated clinicians 1,339

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,339

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1093716979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD STE 1003B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-5025",
            "fax_number": "404-501-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "CASHIO",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "404-686-1811"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "044039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "100047",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000536A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Emory Decatur Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.