SYBIL DENISE DOTSON MD
NPI 1316961394
Internal Medicine - Cardiovascular Disease in Decatur, GA
About Sybil Denise Dotson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SYBIL DENISE DOTSON MD (NPI 1316961394) is an individual cardiovascular disease provider in Decatur, Georgia, licensed in Georgia (035856) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of University Of Arkansas College Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sybil Denise Dotson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sybil Dotson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 15
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital
Acute Care Hospitals · Atlanta, GAEmory Decatur Hospital
Acute Care Hospitals · Decatur, GAEmory University Hospital Midtown
Acute Care Hospitals · Atlanta, GANorthside Hospital
Acute Care Hospitals · Atlanta, GAEmory Hillandale Hospital
Acute Care Hospitals · Lithonia, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sybil Dotson's NPI number?
The NPI number for Sybil Dotson is 1316961394. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Sybil Dotson located?
Sybil Dotson practices at 2665 N Decatur Rd Suite 260, Decatur, GA 30033. The listed phone number is (404) 297-9077.
What is Sybil Dotson's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Sybil Dotson enrolled in Medicare?
Yes. Sybil Dotson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sybil Dotson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sybil Dotson reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sybil Dotson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sybil Dotson accept?
Health plans from Ambetter Health and Oscar Health list Sybil Dotson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sybil Dotson affiliated with any hospitals?
According to CMS data, Sybil Dotson is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown, Northside Hospital and Emory Hillandale Hospital.
When was this NPI record last updated?
The NPPES record for Sybil Dotson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sybil Denise Dotson, MD · NPI 1316961394
Cardiovascular Disease physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1316961394 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 035856 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2665 N DECATUR RD, SUITE 260, Decatur, GA 30033-6149
- **Phone:** (404) 297-9077 · **Fax:** (404) 296-1220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Emory Clinic Inc (NPI 1396798229, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arkansas College Of Medicine, class of 1985
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other C6936 (AR); Other 035856 (GA); Medicaid 000511673A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1316961394) · Data from the CMS NPPES public registry.