Organization Active NPI

Empowered Pathways LLC

  • Clinical Social Worker
  • Powder Springs, GA
National Provider Identifier
1669121760
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMPOWERED PATHWAYS LLC
Practice address
3994 Villa Lake Rd
Powder Springs, GA 30127-5051
Phone
(470) 837-0175
NPI assigned
Mar 23, 2022
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Brooke T Thompson
Title
Billing
Phone
(404) 438-5751

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Acute Care Nurse Practitioner 363LA2100X
Gerontology Nurse Practitioner 363LG0600X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Primary Care Nurse Practitioner 363LP2300X
Case Manager/Care Coordinator 171M00000X
Community/Behavioral Health Agency 251S00000X
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X

Addresses

Primary practice location

3994 Villa Lake Rd
Powder Springs, GA 30127-5051

Mailing address

3994 Villa Lake Rd
Powder Springs, GA 30127-5051
Phone (850) 688-6761

Other practice location 1

1142 E Pacific Coast Hwy
1075
Long Beach, CA 90806
Phone (404) 852-1333

Other practice location 2

3157 Gentilly Blvd Unit 2492
New Orleans, LA 70122-3872
Phone (850) 688-6761

National Provider Directory

National Provider Directory

Locations

1142 E Pacific Coast Hwy
1075
Long Beach, CA 90806
Phone (404) 852-1333

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1669121760",
    "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": "850-688-6761",
            "fax_number": "678-840-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3994 VILLA LAKE RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275051",
            "telephone_number": "470-837-0175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1142 E Pacific Coast Hwy",
            "address_2": "1075",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90806",
            "country_code": "US",
            "telephone_number": "404-852-1333",
            "fax_number": "678-840-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3157 Gentilly Blvd Unit 2492",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701223872",
            "country_code": "US",
            "telephone_number": "850-688-6761",
            "fax_number": "678-840-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWERED PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "404-438-5751"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.