NPIMap

Organization Active NPI

Dekalb Medical Center, Inc.

Doing business as Dekalb Medical Center at Hillandale

  • General Acute Care Hospital
  • Lithonia, GA
National Provider Identifier
1962403865
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
044621 Issued in GA
Legal business name
DEKALB MEDICAL CENTER, INC.
Doing business as
Dekalb Medical Center at Hillandale
Emory Hillandale Hospital
Practice address
2801 Dekalb Medical Pkwy
Lithonia, GA 30058-4996
Phone
(404) 501-7534
Fax
(404) 501-5811
NPI assigned
Aug 2, 2005
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DEKALB MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 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
General Acute Care Hospital 282N00000X 044621 GA Primary

Addresses

Primary practice location

2801 Dekalb Medical Pkwy
Lithonia, GA 30058-4996

Mailing address

2701 N Decatur Rd Ste 1002B
Decatur, GA 30033-5918
Phone (404) 501-5025

Other identifiers 2

IdentifierTypeStateIssuer
000000536UMedicaidGA
100191OtherGABLUE CROSS BLUE SHIELD

Other names 2

  • Dekalb Medical Center at Hillandale Doing business as
  • Emory Hillandale 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
O20050325000626 GA Part A Provider - Hospital 9032192885 Practice locations: Lithonia, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962403865. Details of each certification follow.

Hospital certification: CCN 110226

Legal name
DEKALB MEDICAL CENTER, INC
Doing business as
EMORY HILLANDALE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 20, 2005
Last certification
Nov 17, 2023
Beds
84
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Aug 9, 1991 in GA
Enrollment address
2801 Dekalb Medical Pkwy
Lithonia, GA 30058-4996
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Emory Hillandale HospitalCCN 110226 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Dekalb Medical Center I2 organizations share this tax ID, including this one
Part of
Dekalb Medical Center I

Other organizations with this tax ID 1

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2701 N Decatur Rd
Ste 1002B
Decatur, GA 30033

450 N Candler St
Fl 6
Decatur, GA 30030
Phone (404) 501-7925

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 Corporate DirectorVP/Cfo Oct 1, 2024
W-2 Managing EmployeeVP/Cfo Oct 1, 2024
Dekalb Regional Health System Organization, Decatur, GA Non-profit 5% Or Greater Direct Ownership Interest Nov 12, 2007 100%
Jen Schuck Individual W-2 Managing EmployeeCeo Oct 1, 2024
Operational/Managerial ControlCeo May 1, 2023
Emory Healthcare Inc Organization, Atlanta, GA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Emory Decatur HospitalDecatur, GA, CCN 11T076 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2007

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 23

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 23

Affiliated clinicians 459

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

View all 459

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1962403865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD STE 1002B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-5025",
            "fax_number": "404-501-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 DEKALB MEDICAL PKWY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584996",
            "telephone_number": "404-501-7534",
            "fax_number": "404-501-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEKALB MEDICAL",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "044621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000536U",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "100191",
            "state": "GA"
        }
    ],
    "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": "Dekalb Medical Center at Hillandale",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emory Hillandale Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.