EMPOWER FAMILY MEDICINE (NPI# 1053867929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053867929 |
Entity Type | Organization |
Organization Name | EMPOWER FAMILY MEDICINE |
Practice Address |
209 Swanton Way Ste A Suite 101 Decatur GA 30030-3274 |
Mailing Address |
115 Ansley St Decatur GA 30030-5211 |
Practice Telephone | 4049816278 |
Mailing Telephone | 4049816278 |
Enumeration Date | 2016-08-30 |
Last Update Date | 2016-08-30 |
Authorized Official Name | DR. MELISSA BLACK (FOUNDER) |
Authorized Official Telephone | 4049816278 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
056266 | GA | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093181000 | Empower Family Medicine | Clinic/Center | 209 Swanton Way, Suite 101, Decatur, GA 30030-3274 | 2015-08-12 |
Street Address |
209 SWANTON WAY STE A SUITE 101 |
City | DECATUR |
State | GA |
Zip Code | 30030-3274 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083771356 | William Stephen Sabom | Counselor | 209 Swanton Way Ste A, Decatur, GA 30030-3274 | 2007-01-03 |
1235671488 | Lorraine Hursey Deng, Lcsw, LLC | Social Worker | 209 Swanton Way Ste A, Decatur, GA 30030-3274 | 2016-11-04 |
1841741485 | Phyllis Williams, Lmft, PC | Counselor | 209 Swanton Way Ste A, 102, Decatur, GA 30030-3274 | 2016-10-19 |
1891981320 | Phyllis Devon Williams | Counselor | 209 Swanton Way Ste A, 102, Decatur, GA 30030-3274 | 2007-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
Find all providers in zip 30030 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568012755 | Watchman's Health PC | Clinic/Center | 1501 7th St Se Ste A, Decatur, AL 35601-3375 | 2019-09-19 |
1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
1366972523 | Strawbridge Health LLC | Clinic/Center | 4150 Snapfinger Woods Dr Ste 100a, Decatur, GA 30035-3417 | 2017-06-19 |
1598125312 | Pediatrics and Adult Medicine Inc. | Clinic/Center | 4153 Flat Shoals Pkwy Bld C, Suite 300b, Decatur, GA 30034-4106 | 2016-03-07 |
1194120956 | Tricia Salmon Anderson | Clinic/Center | 5040 Snapfinger Woods Dr Ste 104, Decatur, GA 30035-4020 | 2014-10-22 |
1548671936 | Decatur Wellness Services, Inc. | Clinic/Center | 235 E Ponce De Leon Ave Ste 308, Decatur, GA 30030-3412 | 2014-05-19 |
1295175909 | Oakhurst Pediatrics, LLC | Clinic/Center | 317 W Hill St Ste 111, Suite 111, Decatur, GA 30030-4368 | 2013-06-26 |
1679814735 | Power In The Pews Ministry, Inc. | Clinic/Center | 5026 Snapfinger Woods Dr, Ste 110, Decatur, GA 30035-4063 | 2013-03-13 |
1912440207 | Oscar Medical, Inc | Clinic/Center | 3375 Memorial Dr, Decatur, GA 30032-2706 | 2016-11-18 |
1982052585 | Springboard Pediatrics Inc | Clinic/Center | 2980 N Main St, Suite 2, Decatur, IL 62526-3291 | 2016-05-25 |
Find all providers in DECATUR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.