Organization Active NPI

Empower Family Medicine

  • Primary Care Clinic/Center
  • Decatur, GA
National Provider Identifier
1053867929
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
056266 Issued in GA
Legal business name
EMPOWER FAMILY MEDICINE
Practice address
209 Swanton Way Ste a
Suite 101
Decatur, GA 30030-3274
Phone
(404) 981-6278
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. Melissa Black, MD
Title
Founder
Phone
(404) 981-6278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 056266 GA Primary

Addresses

Primary practice location

209 Swanton Way Ste a
Suite 101
Decatur, GA 30030-3274

Mailing address

115 Ansley St
Decatur, GA 30030-5211
Phone (404) 981-6278

National Provider Directory

National Provider Directory

Locations

209 Swanton Way
Ste 101
Decatur, GA 30030
Phone (404) 295-6251

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1053867929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ANSLEY ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305211",
            "telephone_number": "404-981-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SWANTON WAY STE A",
            "address_2": "SUITE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303274",
            "telephone_number": "404-981-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "404-981-6278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "056266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.