Healthcare Provider Details

I. General information

NPI: 1962272518
Provider Name (Legal Business Name): EMPOWERING MANAGEMENT GROUP OF GEORGIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 CHATTAHOOCHEE AVE NW STE C-1
ATLANTA GA
30318-2829
US

IV. Provider business mailing address

1314 CHATTAHOOCHEE AVE NW STE C-1
ATLANTA GA
30318-2829
US

V. Phone/Fax

Practice location:
  • Phone: 770-884-8505
  • Fax: 770-200-1673
Mailing address:
  • Phone: 770-884-8505
  • Fax: 770-200-1673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: NOEMI NAVARRO
Title or Position: ADMIN/BILLING
Credential:
Phone: 770-884-8505