Organization Active NPI

Athena Integrative Health Solutions LLC

  • Health Service Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1407730005
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ATHENA INTEGRATIVE HEALTH SOLUTIONS LLC
Practice address
850 Dogwood Rd Ste No2131
Lawrenceville, GA 30044-7218
Phone
(470) 567-0215
Fax
(470) 264-1399
NPI assigned
Aug 5, 2025
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pearl Aku Amoako, NPNPI 1013482975
Title
Ceo
Phone
(470) 567-0215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

850 Dogwood Rd Ste No2131
Lawrenceville, GA 30044-7218

Mailing address

850 Dogwood Rd Ste No2131
Lawrenceville, GA 30044-7218
Phone (470) 567-0215

Other names 1

  • Athena Integrative Health Former legal business name

National Provider Directory

National Provider Directory

Locations

850 Dogwood Rd
Ste NO2131
Lawrenceville, GA 30044
Phone (470) 567-0215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1407730005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 DOGWOOD RD STE NO2131",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447218",
            "telephone_number": "470-567-0215",
            "fax_number": "470-264-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 DOGWOOD RD STE NO2131",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447218",
            "telephone_number": "470-567-0215",
            "fax_number": "470-264-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA INTEGRATIVE HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "AMOAKO",
        "authorized_official_first_name": "PEARL",
        "authorized_official_middle_name": "AKU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-567-0215",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athena Integrative Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.