Active NPI
Empowered Pathways LLC
- Clinical Social Worker
- Powder Springs, GA
National Provider Identifier
1669121760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2023
- 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
- Brooke T Thompson
- Title
- Billing
- Phone
- (404) 438-5751
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.