Individual provider Active NPI

Jacquetta Melony Foushee, M.D.

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1427319698
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2018-01538 Issued in NC
Practice address
8502 Six Forks Rd Ste 102
Raleigh, NC 27615-3264
Phone
(984) 207-1098
Fax
(984) 202-2194
NPI assigned
Jun 5, 2012
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 2018-01538 NC Primary

Addresses

Primary practice location

8502 Six Forks Rd Ste 102
Raleigh, NC 27615-3264

Mailing address

8502 Six Forks Rd Ste 102
Raleigh, NC 27615-3264
Phone (984) 207-1098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180924001330 NC Practitioner - Psychiatry 5193953628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Brody School of Medicine at East Carolina University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Odyssey Psychiatry and Wellness PLLCGroup PAC ID 3375088792, 2 clinicians

Practice addresses (Care Compare)

8502 Six Forks Rd
Suite 102
Raleigh, NC 27615-3264
Phone (984) 207-1098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2018-01538NCMDPsychiatry Physician
N/ANCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey Psychiatry and Wellness PLLC Psychiatry CurrentSince Jun 1, 2024 Accepting new patients
Wake Psychiatry, PLLC Psychiatry CurrentSince Aug 1, 2021 Accepting new patients

Locations

1500 Sunday Dr
Ste 200
Raleigh, NC 27607
Phone (919) 322-2413

8502 Six Forks Rd
Ste 102
Raleigh, NC 27615
Phone (984) 207-1098

Organizations & group practices 2

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1427319698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 SIX FORKS RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153264",
            "telephone_number": "984-207-1098",
            "fax_number": "984-202-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 SIX FORKS RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153264",
            "telephone_number": "984-207-1098",
            "fax_number": "984-202-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUSHEE",
        "first_name": "JACQUETTA",
        "middle_name": "MELONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2018-01538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.