Provider Demographics
NPI:1396625562
Name:PATHWISE CASE MANAGEMENT
Entity type:Organization
Organization Name:PATHWISE CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAWANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MADDEN-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-777-6104
Mailing Address - Street 1:910 ATHENS HWY STE K304
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-4952
Mailing Address - Country:US
Mailing Address - Phone:404-777-6104
Mailing Address - Fax:470-200-0836
Practice Address - Street 1:910 ATHENS HWY STE K304
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-4952
Practice Address - Country:US
Practice Address - Phone:404-777-6104
Practice Address - Fax:470-200-0836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-06
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty