Individual provider Active NPI

Elmer Ray Potts, ED.D.

  • Psychologist
  • Nashville, TN
National Provider Identifier
1285740563
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P1312 Issued in TN
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

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
P1312TNMDPsychologist
1312TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology Consultants, PLLC Past Accepting new patients
Neurobehavioral Consultants, Inc PastSince May 11, 2017 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.

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.

Verify at the official NPI Registry.