Kendra Rae Potter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4173 Issued in TN

Practice address

4221 Fort Henry Dr Ste 1
Kingsport, TN 37663-2227

Phone

(423) 726-2672

Fax

(423) 406-1399

NPI assigned

May 16, 2019

Last updated

Jul 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norton Community Physician Services LLCGroup PAC ID 1557431665, 29 clinicians

Dominion Health and Fitness, IncGroup PAC ID 3274570908, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14704/brand/1/csg/1/fhir/r4
• Direct secure messaging: kendra.potter.1@1054.direct.athenahealth.com
• Direct secure messaging: kendra.potter.1@1366.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Norton Community Physician Services LLC

  • Internal Medicine Physician
  • Norton, VA
  • NPI 1861674160

  Physician Assistant

  Medicare reassignment Care Compare group NPD (past)
• Campbell Clinic, PC

  • Orthopaedic Surgery Physician
  • Germantown, TN
  • NPI 1003835141

  Physician Assistant

  Medicare reassignment NPD (past)
• Appalachian Orthopaedic Associates P C

  dba Appalachian Orthopedics Associates, PC

  • Orthopaedic Surgery Physician
  • Rogersville, TN
  • NPI 1063875649
  Medicare reassignment
• Dominion Health & Fitness, Inc

  • Physical Therapist
  • Clintwood, VA
  • NPI 1871513788
  Care Compare group
• Appalachian Orthopaedic Associates P C

  • Orthopaedic Surgery Physician
  • Johnson City, TN
  • NPI 1336175462
  NPD
• Appalachian Orthopaedic Associates P C

  • Orthopaedic Surgery Physician
  • Kingsport, TN
  • NPI 1669940078
  NPD
• Campbell Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Carthage, TN
  • NPI 1669366068
  NPD
• Titan Orthopedics of Memphis, PLLC

  • Orthopaedic Surgery Physician
  • Memphis, TN
  • NPI 1013463694
  NPD
• Norton Community Physician Services LLC

  • Internal Medicine Physician
  • Clintwood, VA
  • NPI 1821896150
  NPD
• Appalachian Orthopaedic Associates, PC

  • Orthopaedic Surgery Physician
  • Kingsport, TN
  • NPI 1598703043
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wellmont Health System

  dba Lonesome Pine Hospital

  • General Acute Care Hospital
  • Big Stone Gap, VA
  • NPI 1801826912
  Care Compare affiliation

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1255997086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 FORT HENRY DR STE 1",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632227",
            "telephone_number": "423-726-2672",
            "fax_number": "423-406-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 FORT HENRY DR STE 1",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632227",
            "telephone_number": "423-726-2672",
            "fax_number": "423-406-1399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 Park Ave NW Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731631",
            "country_code": "US",
            "telephone_number": "276-439-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "KENDRA",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008946",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4173",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Vibes ABA, LLC
• Benjamin Potter, DPM
• Billy N Potter, D.PH.
• Elizabeth Pierce Potter, BS
• Eric C Potter, M.D.
• Cheryl Riggs Powers, RN, BS
• Kathleen Powers, FNP-BC
• Madison Shipley Powers
• Margaret Ann Powers, BSW
• Premier Anesthesia Services PC

• Physician Assistant in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.