Organization Active NPI

Empowerme Rehabilitation Georgia, LLC

  • Multi-Specialty Clinic/Center
  • Cumming, GA
National Provider Identifier
1952934374
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
EMPOWERME REHABILITATION GEORGIA, LLC
Practice address
5610 Hampton Park Dr
Cumming, GA 30041-4004
Phone
(877) 367-9772
NPI assigned
Feb 13, 2020
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
John David Church
Title
Vice President of Finance
Phone
(618) 972-5228

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

5610 Hampton Park Dr
Cumming, GA 30041-4004

Mailing address

PO Box 736005
Dallas, TX 75373-6005
Phone (844) 502-7996

Other practice location 1

890 Scranton Rd
Brunswick, GA 31525-6618
Phone (844) 502-7996

Other practice location 2

5050 Kimball Bridge Rd
Johns Creek, GA 30005-4511
Phone (844) 502-7996

Other practice location 3

550 Barrington Dr
Roswell, GA 30075-4412
Phone (844) 502-7996

Other practice location 4

3949 Evans To Locks Rd
Evans, GA 30809-8054
Phone (844) 502-7996

Other practice location 5

212 Fairview Park Dr
Dublin, GA 31021-2547
Phone (844) 502-7996

Other practice location 6

762 N Main St
Alpharetta, GA 30009-2376
Phone (844) 502-7996

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200401003230 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284063835 Receives reassigned benefits from 125 practitioners
Practice locations: Fayetteville, GA; Hoschton, GA; Leesburg, GA; Marietta, GA; Martinez, GA; Peachtree Corners, GA; Evans, GA; Pooler, GA…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

253 N Main St
Alpharetta, GA 30009
Phone (770) 299-0345

890 Scranton Rd
Brunswick, GA 31525
Phone (281) 832-4022

3177 Gravel Springs Rd
Buford, GA 30519
Phone (770) 470-0424

125 Riverstone Ter
Canton, GA 30114
Phone (770) 479-0472

4500 S Stadium Dr
Columbus, GA 31909
Phone (706) 561-5560

1352 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 922-1654

10050 Eagle Dr
Covington, GA 30014
Phone (678) 248-8138

7955 Majors Rd
Cumming, GA 30041
Phone (678) 648-5239

200 Mountain Blvd S
Jasper, GA 30143
Phone (706) 253-0431

1155 Lawrenceville Hwy
Lawrenceville, GA 30046
Phone (770) 526-9340

166 Oakland Pkwy
Leesburg, GA 31763
Phone (229) 232-8520

125 Southern Junction Blvd
Bldg 800
Pooler, GA 31322
Phone (912) 348-2360

2078 Scenic Hwy N
Snellville, GA 30078
Phone (770) 810-2595

2700 Patrick Henry Pkwy
Stockbridge, GA 30281
Phone (770) 464-5088

475 Country Club Dr
Stockbridge, GA 30281
Phone (470) 508-1814

3681 Burnette Rd
Suwanee, GA 30024
Phone (470) 202-3929

Practitioners & affiliated clinicians

Practitioners 148

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.

View all 148

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1952934374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736005",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753736005",
            "telephone_number": "844-502-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 HAMPTON PARK DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414004",
            "telephone_number": "877-367-9772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Scranton Rd",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315256618",
            "country_code": "US",
            "telephone_number": "844-502-7996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Kimball Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300054511",
            "country_code": "US",
            "telephone_number": "844-502-7996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Barrington Dr",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300754412",
            "country_code": "US",
            "telephone_number": "844-502-7996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3949 Evans To Locks Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308098054",
            "country_code": "US",
            "telephone_number": "844-502-7996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Fairview Park Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310212547",
            "country_code": "US",
            "telephone_number": "844-502-7996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "762 N Main St",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300092376",
            "country_code": "US",
            "telephone_number": "844-502-7996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWERME REHABILITATION GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "JOHN DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "618-972-5228"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.