Holly M Potts, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1079484 Issued in AL

Practice address

104 Physicians Dr
Suite a
Muscle Shoals, AL 35661-2100

Phone

(256) 314-1010

Fax

(256) 314-0005

NPI assigned

Feb 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennessee Health Partners LLCGroup PAC ID 0840625984, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/HEJBAA

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.

• Tennessee Health Partners LLC

  • Nurse Practitioner
  • Franklin, TN
  • NPI 1326603911
  Medicare reassignment Care Compare group NPD
• Rapidcare LLC

  • Urgent Care Clinic/Center
  • Lawrenceburg, TN
  • NPI 1851464796
  NPD

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1235403171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PHYSICIANS DR",
            "address_2": "SUITE A",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612100",
            "telephone_number": "256-314-1010",
            "fax_number": "256-314-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHYSICIANS DR",
            "address_2": "SUITE A",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612100",
            "telephone_number": "256-314-1010",
            "fax_number": "256-314-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "HOLLY",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1079484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Petree, PT, DPT
• Dominic Phillips
• Plaxco Chiropractic Associates LLC
• Michael J Plaxco Sr., D.C.
• Mitchell Oscar Plaxco, D.C.
• Alexandria Price
• Private Duty Nursing Services, Inc
• Procare Physical Therapy
• Publix Alabama LLC
• Stephanie Pullum

• Nurse Practitioner in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.