Active NPI
The Empowerment Academy for Girls and Women, Inc.
- Case Management Agency
- Jonesboro, GA
National Provider Identifier
1104154806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 000002
- Legal business name
- THE EMPOWERMENT ACADEMY FOR GIRLS AND WOMEN, INC.
- Practice address
- 7314 Wagon Wheel CT
Jonesboro, GA 30236-2545 - Phone
- (404) 665-7935
- NPI assigned
- Nov 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nikki Macharia Venisee
- Title
- Executive Director
- Phone
- (404) 665-7935
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00000001 | GA | |
| Case Management Agency | 251B00000X | 000002 | GA | Primary |
| Early Intervention Provider Agency | 252Y00000X | 000003 | GA |
Addresses
Primary practice location
7314 Wagon Wheel CT
Jonesboro, GA 30236-2545
Mailing address
7314 Wagon Wheel CT
Jonesboro, GA 30236-2545
Phone (404) 665-7935
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YA0400X | Medicaid | GA | |
| 163W00000X | Medicaid | GA | |
| 171R00000X | Medicaid | GA | |
| 373H00000X | Medicaid | GA | |
| 37470000X | Medicaid | GA | |
| 133N00000X | Medicaid | GA | |
| 103K00000X | Medicaid | GA | |
| 101YP2500X | Medicaid | GA | |
| 104100000X | Medicaid | GA | |
| 376K00000X | Medicaid | GA | |
| 171M00000X | Medicaid | GA | |
| 374H00000X | Medicaid | GA | |
| 172V00000X | Medicaid | GA | |
| 101YM0800X | Medicaid | GA | |
| 167G00000X | Medicaid | GA | |
| 164W00000X | Medicaid | GA | |
| 171W00000X | Medicaid | GA | |
| 172A00000X | Medicaid | GA | |
| 174H00000X | Medicaid | GA |
Other names 1
- The Empowerment Academy for Girls and Women, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258502400000",
"number": "1104154806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7314 WAGON WHEEL CT",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302362545",
"telephone_number": "404-665-7935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7314 WAGON WHEEL CT",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302362545",
"telephone_number": "404-665-7935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EMPOWERMENT ACADEMY FOR GIRLS AND WOMEN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A",
"authorized_official_last_name": "VENISEE",
"authorized_official_first_name": "NIKKI",
"authorized_official_middle_name": "MACHARIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "404-665-7935",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "GA",
"license": "00000001",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "GA",
"license": "000002",
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "GA",
"license": "000003",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YA0400X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163W00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171R00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373H00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37470000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133N00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103K00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YP2500X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104100000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376K00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171M00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374H00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172V00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YM0800X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167G00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164W00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171W00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172A00000X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174H00000X",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Empowerment Academy for Girls and Women, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.