# POWER ATLANTA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** POWER ATLANTA INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225855075
- **Authorized official:** MS. ADRIENNE GATES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (404) 301-9989

## Contact information

- **Practice address:** 1024 AVON AVE SW, ATLANTA, GA 30310-4103
- **Practice address phone:** (404) 301-9989
- **Practice address fax:** (404) 678-4773
- **Mailing address:** 1024 AVON AVE SW, ATLANTA, GA 30310-4103
- **Mailing address phone:** (404) 301-9989
- **Mailing address fax:** (404) 678-4773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 01/21/2026