NPIMap

Organization Active NPI

Department of Behavioral Health and Developmental Disabilities

  • Psychiatric Hospital
  • Decatur, GA
National Provider Identifier
1124254941
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
044-232 Issued in GA
Legal business name
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Practice address
3073 Panthersville Rd
Decatur, GA 30034-3828
Phone
(404) 212-5454
Fax
(404) 243-2159
NPI assigned
Jun 8, 2009
Last updated
Mar 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Mr. Emile Risby, M.D.
Title
Clinical Director
Phone
(404) 243-2114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 044-232 GA Primary

Addresses

Primary practice location

3073 Panthersville Rd
Decatur, GA 30034-3828

Mailing address

PO Box 370407
Decatur, GA 30037-0407
Phone (404) 212-5454

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090825000435 GA Part B Supplier - Clinic/Group Practice 7416002506 Receives reassigned benefits from 178 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Augusta, GA; Columbus, GA; Decatur, GA; Milledgeville, GA; Rome, GA; Savannah, GA; Thomasville, GA
O20100603000673 GA Part A Provider - Hospital 7416002506 Practice locations: Decatur, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124254941. Details of each certification follow.

Hospital certification: CCN 114019

Legal name
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Doing business as
GEORGIA REGIONAL HOSPITAL AT ATLANTA
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 5, 1983
Last certification
Feb 20, 2026
Beds
347 (124 certified)
Ownership / control type
State
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 2009 in GA
Enrollment address
3073 Panthersville Rd
Decatur, GA 30034-3828
Hospital subgroups
Psychiatric

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 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Georgia Regional Hospital AtlantaCCN 114019 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
East Central Reg Hospital53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

3073 Panthersville Rd
Decatur, GA 30034
Phone (404) 243-2100

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Department of Behavioral Health and Developmental Disabilities Organization, Decatur, GA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2009 100%
Operational/Managerial Control Jul 1, 2009
Eva King Individual Corporate OfficerCfo Jan 1, 2024
W-2 Managing EmployeeCfo Jan 1, 2024
Charles Li Individual 5% Or Greater Indirect Ownership InterestRegional Hospital Administrator Jan 1, 2024 100%
Corporate OfficerRegional Hospital Administrator Jan 1, 2024 100%
W-2 Managing EmployeeRegional Hospital Administrator Jan 1, 2024 100%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Central Georgia Regional HospitalColumbus, GA, CCN 114013 Hospital 5% Or Greater Direct Ownership Interest Jul 1, 2009
Georgia Regional Hospital at SavannahSavannah, GA, CCN 114028 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2009

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 50

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 50

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1124254941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370407",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300370407",
            "telephone_number": "404-212-5454",
            "fax_number": "404-243-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 PANTHERSVILLE RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343828",
            "telephone_number": "404-212-5454",
            "fax_number": "404-243-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "RISBY",
        "authorized_official_first_name": "EMILE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "404-243-2114",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": "044-232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.