Individual provider Active NPI

Jennie Foulkes, PT

  • Physical Therapist
  • Macon, GA
National Provider Identifier
1407909211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002462 Issued in GA
Practice address
7440 Thomaston Rd
Macon, GA 31220-5160
Phone
(478) 757-1338
Fax
(478) 757-8225
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT002462 GA Primary

Addresses

Primary practice location

7440 Thomaston Rd
Macon, GA 31220-5160

Mailing address

146 Carriage Way
Macon, GA 31210-8622
Phone (478) 757-1338

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT002462GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Arts Physical Therapy Physical Therapist CurrentSince Aug 1, 2016 Accepting new patients
Davis of Moran Inc Past Accepting new patients
Dialysis Center of Forsyth LLC Past Accepting new patients

Locations

120 N Lee St
#E
Forsyth, GA 31029
Phone (478) 994-3390

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407909211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 CARRIAGE WAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108622",
            "telephone_number": "478-757-1338",
            "fax_number": "478-757-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 THOMASTON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312205160",
            "telephone_number": "478-757-1338",
            "fax_number": "478-757-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULKES",
        "first_name": "JENNIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.