Organization Active NPI

Dekalb Medical Center, Inc.

Doing business as Emory Decatur Hospital

  • Rehabilitation Hospital Unit
  • Decatur, GA
National Provider Identifier
1912908567
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
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) 501-5185
Fax
(404) 501-5811
NPI assigned
Aug 4, 2005
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DEKALB MEDICAL CENTER, INC.As reported in NPPES

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
Rehabilitation Hospital Unit 273Y00000X 044039 GA Primary

Addresses

Primary practice location

2701 N Decatur Rd
Decatur, GA 30033-5918

Mailing address

2701 N Decatur Rd
Decatur, GA 30033-5918
Phone (404) 501-5185

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 GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080311000767 GA Part A Provider - Hospital 9032192885 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Decatur, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912908567. Details of each certification follow.

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 on the same Medicare enrollment 1

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

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
Part of
Ih Medical Emergency As

Locations

2665 N Decatur Rd
Ste 240
Decatur, GA 30033
Phone (404) 251-8778

2675 N Decatur Rd
Ste 110
Decatur, GA 30033
Phone (404) 501-5368

2701 N Decatur Rd
Ste G
Decatur, GA 30033
Phone (404) 501-7543

8225 Mall Pkwy
Ste 160
Lithonia, GA 30038
Phone (404) 501-8040

Ownership & related parties

All disclosed owners & managing parties 4

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

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

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1912908567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-5185",
            "fax_number": "404-501-5811"
        },
        {
            "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": "404-501-5185",
            "fax_number": "404-501-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEKALB MEDICAL CENTER, INC.",
        "enumeration_date": "2005-08-04",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "GA",
            "license": "044039",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.