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ATHENA JACOWAY
NPI 1376905117
Specialist - Prosthetics Case Management in Tucker, GA

Active since March 22, 2016
2258 NORTHLAKE PKWY, 390, TUCKER, GA 30084(678) 754-3507 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Athena Jacoway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHENA JACOWAY (NPI 1376905117) is an individual prosthetics case management provider in Tucker, Georgia, licensed in Georgia (CO078139) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1376905117
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameATHENA JACOWAY
Location Address2258 NORTHLAKE PKWY, 390Tucker, GA 30084-4019
Mailing Address1631 Brentwood Xing SeConyers, GA 30013-6300 · (678) 754-3507
Phone(678) 754-3507
Sole ProprietorYes
Enumeration DateMarch 22, 2016
✔ NPI 1376905117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in GA · CO078139
Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

2258 NORTHLAKE PKWY, Tucker, GA 30084
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FRANK LYNWOOD O'CONNOR JR. D.D.S.
Dentist (Prosthodontics)
2258 NORTHLAKE PKWY, SUITE 211
TUCKER, GA 30084
Dekalb County (770) 939-5661
METRO DENTAL @ NORTHLAKE
Dentist (General Practice)
2258 NORTHLAKE PKWY, SUITE 200
TUCKER, GA 30084
Dekalb County (678) 937-9601
DANNY JEON DMD
Dentist (General Practice)
2258 NORTHLAKE PKWY, SUITE 200
TUCKER, GA 30084
Dekalb County (678) 937-9601
DR. JACQUELINE R SULTON MD
Pediatrics
2258 NORTHLAKE PKWY, SUITE 100
TUCKER, GA 30084
Dekalb County (770) 670-6100
ROSELYN ANGEL EKPERI CPNP-PC
Nurse Practitioner (Pediatrics)
2258 NORTHLAKE PKWY
TUCKER, GA 30084
Dekalb County (770) 670-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athena Jacoway's NPI number?

The NPI number for Athena Jacoway is 1376905117. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Athena Jacoway located?

Athena Jacoway practices at 2258 Northlake Pkwy 390, Tucker, GA 30084. The listed phone number is (678) 754-3507.

What is Athena Jacoway's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Athena Jacoway was last updated on March 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.