Individual provider Active NPI

Emily Jean Potts, MPH, MPAS, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1194340885
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003148A Issued in IN
Practice address
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone
(317) 944-7260
Fax
(317) 948-0860
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1173892 IN
Physician Assistant 363A00000X 10003148A IN Primary

Addresses

Primary practice location

705 Riley Hospital Dr
Indianapolis, IN 46202-5109

Mailing address

PO Box 778912
Chicago, IL 60677-8912
Phone (317) 777-6435

Other practice location 1

8051 S Emerson Ave Ste 400
Indianapolis, IN 46237-8633
Phone (317) 865-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210204001526 IN Practitioner - Physician Assistant 7012321987 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1173892INMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates, LLC Physician Assistant CurrentSince Apr 1, 2021 Accepting new patients
Iu Health Medical Group, LLC Physician Assistant CurrentSince Jan 1, 2026 Accepting new patients
Obstetrics & Gynecology of Indiana, LLC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

575 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 944-3966

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600

8051 S Emerson Ave
Ste 425
Indianapolis, IN 46237
Phone (317) 865-3600

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454

Interoperability endpoints

  • Direct secure messaging: epotts578789@direct.franciscanalliance.org

Organizations & group practices 7

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1194340885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778912",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606778912",
            "telephone_number": "317-777-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-944-7260",
            "fax_number": "317-948-0860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8051 S Emerson Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462378633",
            "country_code": "US",
            "telephone_number": "317-865-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "credential": "MPH, MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "1173892",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003148A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.