Active NPI
Empower Wellness, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- EMPOWER WELLNESS, LLC
- Practice address
- 1610 Alice St
Waycross, GA 31501-4533 - Phone
- (912) 584-3263
- Fax
- (912) 809-2296
- NPI assigned
- Feb 25, 2021
- Reactivated
- Apr 21, 2025
- Last updated
- Apr 22, 2025
- 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
- Dana Marie Morgan, APRN
- Title
- Owner
- Phone
- (912) 584-3263
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1610 Alice St
Waycross, GA 31501-4533
Mailing address
1610 Alice St
Waycross, GA 31501-4533
Phone (912) 584-3263
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Empowerwellness21@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2264348 | Empower Wellness | Certificate of waiver | Jul 12, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Waycross, GA
- NPI 1043761331
-
- Social Worker
- Waycross, GA
- NPI 1972649374
-
- Psychiatric/Mental Health Nurse Practitioner
- Blackshear, GA
- NPI 1538604368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745280000000",
"number": "1386238723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014533",
"telephone_number": "912-584-3263",
"fax_number": "912-809-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014533",
"telephone_number": "912-584-3263",
"fax_number": "912-809-2296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWER WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-25",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"deactivation_date": "2025-04-04",
"reactivation_date": "2025-04-21",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-584-3263",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Empowerwellness21@gmail.com",
"affiliation": "N",
"address_1": "1610 Alice St",
"city": "Waycross",
"state": "GA",
"country_code": "US",
"postal_code": "315014533",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.