NPIMap

Organization Active NPI

The Emory Clinic Inc

Doing business as Emory Endoscopy Center at Decatur

  • Ambulatory Surgical Clinic/Center
  • Decatur, GA
National Provider Identifier
1306472063
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
THE EMORY CLINIC INC
Doing business as
Emory Endoscopy Center at Decatur
Practice address
2665 N Decatur Rd Ste 740
Decatur, GA 30033-6148
Phone
(404) 544-1405
NPI assigned
Mar 13, 2020
Last updated
Oct 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE EMORY CLINIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Mrs. Brooke Moore
Title
Cfo
Phone
(404) 778-5014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2665 N Decatur Rd Ste 740
Decatur, GA 30033-6148

Mailing address

2201 Henderson Mill Rd NE Ste 160
Atlanta, GA 30345-2711
Phone (404) 778-5079

Other names 1

  • EMORY ENDOSCOPY CENTER AT DECATUR Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220209001848 GA Part B Supplier - Ambulatory Surgical Center 8820901408 Practice locations: Decatur, GA

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Emory Clinic Inc Dba Emory Endoscopy Center at DecaturCCN 11C0001548
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Emory Clinic ASC26 organizations share this tax ID, including this one
Part of
Emory Clinic ASC

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

2665 N Decatur Rd
Ste 740
Decatur, GA 30033
Phone (404) 321-1950

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1306472063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HENDERSON MILL RD NE STE 160",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452711",
            "telephone_number": "404-778-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD STE 740",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336148",
            "telephone_number": "404-544-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMORY CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EMORY CLINIC INC",
        "enumeration_date": "2020-03-13",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-778-5014",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMORY ENDOSCOPY CENTER AT DECATUR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.