Active NPI
Empowering Management Group of Georgia
- Durable Medical Equipment & Medical Supplies
- North Las Vegas, NV
National Provider Identifier
1245052075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EMPOWERING MANAGEMENT GROUP OF GEORGIA
- Practice address
- 2465 Reynolds Ave.
Suite 201
North Las Vegas, NV 89030-7296 - Phone
- (702) 234-8191
- Fax
- (678) 840-3887
- NPI assigned
- Oct 31, 2024
- 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
- Mrs. Evangeline Bess
- Title
- Director of Operations
- Phone
- (404) 852-1333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2465 Reynolds Ave.
Suite 201
North Las Vegas, NV 89030-7296
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 NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241203001494 | NV | DME Supplier - Medical Supply Company | 0840725693 | Practice locations: North Las Vegas, NV |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Adult Health Nurse Practitioner
- Powder Springs, GA
- NPI 1962272518
0840725693
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Empowering Management Group of Las | Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelc… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Empowering Management Group of Georgia
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Health Nurse Practitioner
- Powder Springs, GA
- NPI 1962272518
Locations
2465 Reynolds Ave
Ste 201
North Las Vegas, NV 89030
Phone (702) 203-1066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1245052075",
"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": "2465 REYNOLDS AVE.",
"address_2": "SUITE 201",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307296",
"telephone_number": "702-234-8191",
"fax_number": "678-840-3887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERING MANAGEMENT GROUP OF GEORGIA",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-31",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"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",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.