NPI age
10 years
Enumerated 2016-03-22
● Active
Type 1 · Individual
Athena Jacoway
Jacoway is 1 of 8 specialist providers in Tucker and 1 of 250 in Georgia.
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-03-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 250 active specialist providers in Georgia.
NPI age
10 years
↑ 3 yr above median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-03Enumerated in NPPES
2016
2026
Where they practice
Practice location
2258 Northlake Pkwy, 390
Tucker, GA 300844019
Mailing address
1631 Brentwood Xing Se
Conyers, GA 300136300
Specialties
-
Specialist PrimaryA case manager who provides services for patients with prosthetics.
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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