Active NPI
Jerrica Foster
- Registered Nurse
- McDonough, GA
National Provider Identifier
1497462055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 279573
- Practice address
- 301 Hawken TRL
McDonough, GA 30253-1911 - Phone
- (678) 557-8598
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 279573 | GA | Primary |
Addresses
Primary practice location
301 Hawken TRL
McDonough, GA 30253-1911
Mailing address
301 Hawken TRL
McDonough, GA 30253-1911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ppproperties22@gmail.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279573 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1497462055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HAWKEN TRL",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302531911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HAWKEN TRL",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302531911",
"telephone_number": "678-557-8598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "JERRICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "279573",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ppproperties22@gmail.com",
"affiliation": "N",
"address_1": "301 Hawken Trl",
"city": "McDonough",
"state": "GA",
"country_code": "US",
"postal_code": "302531911",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.