Active NPI
Elmer Ray Potts, ED.D.
- Psychologist
- Nashville, TN
National Provider Identifier
1285740563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P1312
- Practice address
- 4219 Hillsboro Pike
Suite 306
Nashville, TN 37215-3328 - Phone
- (615) 481-5071
- Fax
- (615) 383-5863
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | P1312 | TN | Primary |
Addresses
Primary practice location
4219 Hillsboro Pike
Suite 306
Nashville, TN 37215-3328
Mailing address
PO Box 158761
Nashville, TN 37215-8761
Phone (615) 481-5071
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1312 | TN | MD | Psychologist |
| 1312 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychology Consultants, PLLC | Past | Accepting new patients | |
| Neurobehavioral Consultants, 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.
-
- Clinical Psychologist
- Nashville, TN
- NPI 1629514625
-
- Clinical Neuropsychologist
- Nashville, TN
- NPI 1851724652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1285740563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 158761",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372158761",
"telephone_number": "615-481-5071",
"fax_number": "615-383-5863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4219 HILLSBORO PIKE",
"address_2": "SUITE 306",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372153328",
"telephone_number": "615-481-5071",
"fax_number": "615-383-5863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "ELMER",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "P1312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.