Active NPI
Jamie Foulks, RN
- Home Health Registered Nurse
- McDonough, GA
National Provider Identifier
1134084734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 1-194806
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 1-194806 | AL | |
| Emergency Registered Nurse | 163WE0003X | 1-194806 | AL | |
| Home Health Registered Nurse | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-194806 | AL | MD | Home 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.