Individual provider Active NPI

Alexandra Mae Potts, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1104569979
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27111 Issued in SC
Practice address
Medical University of South Carolina 171 Ashley Ave
Charleston, SC 29425-3141
Phone
(843) 792-1414
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN-132253 MT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 195623 MT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27111 SC Primary

Addresses

Primary practice location

Medical University of South Carolina 171 Ashley Ave
Charleston, SC 29425-3141

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN-132253MTMDPsychiatric/Mental Health Registered Nurse
195623MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Fetter Health Care Network Inc CurrentSince Nov 4, 2023 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Nov 4, 2023 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Nov 4, 2023 Accepting new patients
Fetter Health Care Network, Inc. Current Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Apr 24, 2023 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Nov 4, 2023 Accepting new patients
Fetter Health Care Network, Inc CurrentSince Nov 4, 2023 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Nov 4, 2023 Accepting new patients
Steven M Gordon LLC Psychiatric/Mental Health Current Accepting new patients
Emily Wish, LLC PastSince Apr 1, 2022 Accepting new patients

Locations

51 Nassau St
Charleston, SC 29403

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600

302 Medical Park Dr
Ste 111
Walterboro, SC 29488
Phone (843) 549-6853

302 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-6853

Organizations & group practices 11

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1104569979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL UNIVERSITY OF SOUTH CAROLINA 171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294253141",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "ALEXANDRA",
        "middle_name": "MAE",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MT",
            "license": "RN-132253",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "195623",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "27111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "Medical University Of South Carolina 171 Ashley Ave",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294253141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.