EMPOWER FAMILY MEDICINE NPI 1053867929

NPI Information

NPI: 1053867929
Provider Name: EMPOWER FAMILY MEDICINE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2103303

Address:
209 SWANTON WAY STE A
SUITE 101
DECATUR, GA
ZIP 30030
Phone: (404) 981-6278
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EMPOWER FAMILY MEDICINE is a primary care clinic center in Decatur, GA. EMPOWER FAMILY MEDICINE NPI is 1053867929. The provider is registered as an organization entity type.

The provider's business location address is:

209 SWANTON WAY STE A
SUITE 101
DECATUR, GA
ZIP 30030-274
Phone: (404) 981-6278

The provider's authorized official is Melissa Black .
The authorized official title is Founder and has the following contact phone number (404) 981-6278.

The CLIA number assigned to this NPI record is 11D2103303 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 8/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	056266	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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