Active NPI
Frederick L Potts, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Goldsboro, NC
National Provider Identifier
1255337457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 29645
- Practice address
- 2700 Wayne Memorial Dr
Emergency Dept
Goldsboro, NC 27534-9494 - Phone
- (919) 731-6060
- Fax
- (919) 580-9224
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 29645 | NC | Primary |
Addresses
Primary practice location
2700 Wayne Memorial Dr
Emergency Dept
Goldsboro, NC 27534-9494
Mailing address
PO Box K
Goldsboro, NC 27533-9710
Phone (919) 731-6595
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8968631 | Medicaid | NC | |
| 68631 | Other | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldsboro Emergency Medical Specialists, Inc. | Past | Accepting new patients | |
| Goldsboro Pathology Services Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Goldsboro, NC
- NPI 1164418232
-
- Anatomic Pathology & Clinical Pathology Physician
- Goldsboro, NC
- NPI 1912983081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1255337457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX K",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275339710",
"telephone_number": "919-731-6595",
"fax_number": "919-580-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WAYNE MEMORIAL DR",
"address_2": "EMERGENCY DEPT",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349494",
"telephone_number": "919-731-6060",
"fax_number": "919-580-9224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "FREDERICK",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NC",
"license": "29645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8968631",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "68631",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.