The Emory Clinic Inc

Organization Active NPI Ambulatory Surgical Clinic/Center · Decatur, GA

NPI 1306472063 · NPPES record last updated Oct 30, 2025

Key facts

NPI
1306472063
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
THE EMORY CLINIC INC
Practice address
2665 N Decatur Rd Ste 740
Decatur, GA 30033-6148
Phone
(404) 544-1405
NPI assigned
Mar 13, 2020
Organization subpart
Yes
Parent organization (as reported)
THE EMORY CLINIC INC

Authorized official

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

Other NPIs with the same Medicare PAC ID 8

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

Corporate family (same tax ID) 25

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

Practitioners 3,507

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 3,507

Medicare Care Compare: Ambulatory surgical center

Listed as
The Emory Clinic Inc Dba Emory Endoscopy Center at Decatur CCN 11C0001548
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

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

National Provider Directory

Tax ID family
Emory Crawford Long Hospital (26 organizations share this tax ID)
Part of
Emory Crawford Long Hospital

Specialties & licenses

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

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

  • EMORY ENDOSCOPY CENTER AT DECATUR Doing business as

Other providers in Decatur, GA

All providers in Decatur, GA · Ambulatory Surgical Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.