Empower Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

15074174 Issued in GA

Legal business name

EMPOWER FAMILY MEDICINE

Practice address

209 Swanton Way
Suite 101
Decatur, GA 30030-3274

Phone

(404) 981-6278

Fax

(888) 213-8479

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Melissa P Black, MDNPI 1376767483

Title

Owner

Phone

(404) 295-6251

Specialties & licenses 1

Addresses

Practitioners 1

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

• Melissa Phillips Black, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Atlanta, GA
  • NPI 1376767483
  NPD (past) Authorized official

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1093181000",
    "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": "404-295-6251",
            "fax_number": "888-213-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SWANTON WAY",
            "address_2": "SUITE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303274",
            "telephone_number": "404-981-6278",
            "fax_number": "888-213-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-295-6251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "15074174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emory Dialysis, LLC (Emory Dialysis at North Decatur)
• Emory Dialysis, LLC (Emory Dialysis at Candler)
• Emory Physical Therapy, LLC
• Emory University
• Empower Family Medicine
• Empower U - Atlanta LLC
• Enersed Personal Care Home, Inc
• Lilian Chinyere Eneude
• Alison Louise English, FNP-C
• Byron D English

• Primary Care Clinic/Center in Decatur, GA
• Providers in Decatur, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.