Active NPI
Ashley Potter
- Psychiatric/Mental Health Nurse Practitioner
- Anderson, SC
National Provider Identifier
1033069737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 31498
- Practice address
- 102 Buford Ave Ste a
Anderson, SC 29621-3365 - Phone
- (864) 261-9506
- Fax
- (864) 226-4201
- NPI assigned
- Feb 2, 2026
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 31498 | SC | Primary |
Addresses
Primary practice location
102 Buford Ave Ste a
Anderson, SC 29621-3365
Mailing address
102 Buford Ave Ste a
Anderson, SC 29621-3365
Phone (864) 261-9506
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 |
|---|---|---|---|
| 31498 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1033069737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BUFORD AVE STE A",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213365",
"telephone_number": "864-261-9506",
"fax_number": "864-226-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BUFORD AVE STE A",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213365",
"telephone_number": "864-261-9506",
"fax_number": "864-226-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-02",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "31498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.