Organization Active NPI

Empowering Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
National Provider Identifier
1023864386
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
EMPOWERING MEDICAL GROUP LLC
Practice address
1314 Chattahoochee Ave NW # C-1
Atlanta, GA 30318-2829
Phone
(404) 852-1333
Fax
(678) 840-3887
NPI assigned
Apr 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Evangeline Bess
Title
Director of Operations
Phone
(404) 852-1333

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1314 Chattahoochee Ave NW # C-1
Atlanta, GA 30318-2829

Mailing address

3994 Villa Lake Rd
Powder Springs, GA 30127-5051
Phone (404) 852-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627001523 GA Part B Supplier - Clinic/Group Practice 9931643210 Receives reassigned benefits from 4 practitioners
Practice locations: Powder Springs, GA

National Provider Directory

National Provider Directory

Locations

1314 Chattahoochee Ave NW
#C1
Atlanta, GA 30318
Phone (404) 852-1333

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1023864386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3994 VILLA LAKE RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275051",
            "telephone_number": "404-852-1333",
            "fax_number": "678-840-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 CHATTAHOOCHEE AVE NW # C-1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182829",
            "telephone_number": "404-852-1333",
            "fax_number": "678-840-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "BESS",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "404-852-1333"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.