NPIMap

Organization Active NPI

Sangeetha Potu,MD,PA

  • Nephrology Physician
  • Lincolnton, NC
National Provider Identifier
1255624540
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2010-01503 Issued in NC
Legal business name
SANGEETHA POTU,MD,PA
Practice address
206 Gamble Dr
Suite B
Lincolnton, NC 28092-4439
Phone
(704) 778-0161
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Sangeetha Potu, M.D
Title
Physician
Phone
(704) 778-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 2010-01503 NC Primary

Addresses

Primary practice location

206 Gamble Dr
Suite B
Lincolnton, NC 28092-4439

Mailing address

14432 Tribute Place Dr
201
Huntersville, NC 28078-3444

National Provider Directory

National Provider Directory

Locations

111 Dave Warlick Dr
#A
Lincolnton, NC 28092
Phone (704) 666-1050

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1255624540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14432 TRIBUTE PLACE DR",
            "address_2": "201",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GAMBLE DR",
            "address_2": "SUITE B",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924439",
            "telephone_number": "704-778-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGEETHA POTU,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "POTU",
        "authorized_official_first_name": "SANGEETHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-778-0161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2010-01503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.