Jataya Alianna Fowlkes

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Practice address

1413 Trademart Blvd
Winston Salem, NC 27127-5645

Phone

(336) 791-9516

NPI assigned

Mar 23, 2026

Last updated

Jun 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1922946987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 TRADEMART BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275645",
            "telephone_number": "336-791-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 TRADEMART BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275645",
            "telephone_number": "336-791-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLKES",
        "first_name": "JATAYA",
        "middle_name": "ALIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Gregory Fowler
• Kristin M Fowler, PA-C
• Marianne Fowler
• Parker Tee Fowler
• Reginald Jaye Fowler Jr., MD
• Agnes-Marie Lorraine Fox, MA, CCC-SLP
• Alexus Fox, PHARM. D
• Anne Theresa Fox, M.D.
• Ashley Fox, D.O.
• Erica Fox, LCMHC

• Health Service Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.