Individual provider Active NPI

Jamie Foulks, RN

  • Home Health Registered Nurse
  • McDonough, GA
National Provider Identifier
1134084734
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
1-194806 Issued in AL
Practice address
2020 Avalon Pkwy Ste 200
McDonough, GA 30253-3054
Phone
(470) 471-0310
NPI assigned
Dec 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA0400X 1-194806 AL
Emergency Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WE0003X 1-194806 AL
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X 1-194806 AL Primary

Addresses

Primary practice location

2020 Avalon Pkwy Ste 200
McDonough, GA 30253-3054

Mailing address

2020 Avalon Pkwy Ste 200
McDonough, GA 30253-3054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-194806ALMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1134084734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 AVALON PKWY STE 200",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 AVALON PKWY STE 200",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533054",
            "telephone_number": "470-471-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULKS",
        "first_name": "JAMIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "1-194806",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "AL",
            "license": "1-194806",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "AL",
            "license": "1-194806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.