Active NPI
Dekalb Medical Center, Inc.
Doing business as Emory Decatur Hospital
- Rehabilitation Hospital Unit
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 044039
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- DEKALB MEDICAL CENTER, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Sep 1, 2018 in GA
- Enrollment address
- 2701 N Decatur Rd
Decatur, GA 30033-5918 - Hospital subgroups
- Rehabilitation unit
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
Unit of hospital
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
O20080311000767
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- Emory Decatur Hospital
- 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lisa M Urbistondo | W-2 Managing Employee | Apr 22, 2024 | |
| Operational/Managerial Control | Apr 22, 2024 | ||
| Jen Schuck | Corporate Officer | May 1, 2023 | |
| W-2 Managing Employee | May 1, 2023 | ||
| Dekalb Medical Center, Inc | 5% Or Greater Direct Ownership Interest | Nov 12, 2007 | 100% |
| Emory Healthcare Inc | 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.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
5% Or Greater Direct Ownership Interest
-
dba Dekalb Medical Center at Hillandale
- General Acute Care Hospital
- Lithonia, GA
- NPI 1962403865
5% Or Greater Direct Ownership Interest
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.
-
- Physician Assistant
- Decatur, GA
- NPI 1932631264
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Decatur, GA
- NPI 1669884599
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- Atlanta, GA
- NPI 1265420574
Inpatient rehabilitation facility
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
- Dekalb Gynecology Associates
- Dekalb Medical Center Home Health
- Dekalb Medical Center Inc, Dba Emory Decatur Hospital
- Dekalb Medical Center, Inc. (Emory Decatur Hospital)
- Dekalb Medical Center, Inc.
- Dekalb Medical Emergency Assoc
- Dekalb Medical Hospitalists LLC
- Dekalb Medical Occupational Medicine Group LLC
- Dekalb Medical Primary Care Group LLC
- Dekalb Medical Psych Unit
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.