NPIMap

Organization Active NPI

Louisville Family & Sports Medicine PSC

  • Sports Medicine (Family Medicine) Physician
  • Louisville, KY
National Provider Identifier
1184663015
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
LOUISVILLE FAMILY & SPORTS MEDICINE PSC
Practice address
9420 Brownsboro Rd
Louisville, KY 40241-1118
Phone
(502) 426-4264
Fax
(402) 426-4221
NPI assigned
Jun 6, 2006
Last updated
Mar 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Gregory V Potts, M.D.
Title
President
Phone
(502) 426-4264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X Primary

Addresses

Primary practice location

9420 Brownsboro Rd
Louisville, KY 40241-1118

Mailing address

9420 Brownsboro Rd
Louisville, KY 40241-1118
Phone (502) 426-4264

Other identifiers 4

IdentifierTypeStateIssuer
6593237800MedicaidKY
000000346469OtherKYANTHM BCBS-ST
000000052203OtherKYANTHEM BCBS-GP
000000052204OtherKYANTHEM BCBS-CP

National Provider Directory

National Provider Directory

Locations

9420 Brownsboro Rd
Louisville, KY 40241
Phone (502) 426-4264

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1184663015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411118",
            "telephone_number": "502-426-4264",
            "fax_number": "502-426-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411118",
            "telephone_number": "502-426-4264",
            "fax_number": "402-426-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE FAMILY & SPORTS MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-426-4264",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6593237800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHM BCBS-ST",
            "identifier": "000000346469",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS-GP",
            "identifier": "000000052203",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS-CP",
            "identifier": "000000052204",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.