Organization Active NPI

Empower Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waycross, GA
National Provider Identifier
1386238723
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Dana Marie Morgan, APRNNPI 1043761331
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL Empowerwellness21@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210726001375 GA Part B Supplier - Clinic/Group Practice 1658774807 Receives reassigned benefits from 3 practitioners
Practice locations: Waycross, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2264348Empower Wellness1610 Alice Street, Waycross, GA 31501Certificate of waiverJul 12, 2028

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.