Individual provider Active NPI

Deborah Poteet-Johnson, M.D.

  • Specialist
  • Chattanooga, TN
National Provider Identifier
1083716682
Registry record updated Jan 14, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Aug 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD16576 Issued in TN
Practice address
105 Lee Parkway Dr
Suite a
Chattanooga, TN 37421-6708
Phone
(423) 855-9991
Fax
(423) 855-4262
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD16576 TN Primary

Addresses

Primary practice location

105 Lee Parkway Dr
Suite a
Chattanooga, TN 37421-6708

Mailing address

105 Lee Parkway Dr
Suite a
Chattanooga, TN 37421-6708
Phone (423) 855-9991

Other identifiers 7

IdentifierTypeStateIssuer
198054324AMedicaidGA
270029166OtherTNTAX ID
3825543MedicaidTN
4051818OtherTNBLUE CROSS BLUE SHIELD TN
4051818OtherTNBLUECARE
4051818OtherTNTENNCARE SELECT
000790655AMedicaidGA

Other names 1

  • Dr. Deborah Joanne Poteet Former name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD16576TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic City Wellness PastSince Aug 26, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19840/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1083716682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LEE PARKWAY DR",
            "address_2": "SUITE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216708",
            "telephone_number": "423-855-9991",
            "fax_number": "423-855-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LEE PARKWAY DR",
            "address_2": "SUITE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216708",
            "telephone_number": "423-855-9991",
            "fax_number": "423-855-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTEET-JOHNSON",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD16576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198054324A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "270029166",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3825543",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4051818",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE",
            "identifier": "4051818",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "4051818",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000790655A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "POTEET",
            "middle_name": "JOANNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.