Individual provider Active NPI

Greg Leland Potter, D.O.

  • Family Medicine Physician
  • Daleville, VA
National Provider Identifier
1326105669
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102201361 Issued in VA
Practice address
46 Wesley Rd
Daleville, VA 24083-3082
Phone
(540) 591-9440
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0102201361 VA
Family Medicine Physician 207Q00000X 0102201361 VA Primary

Addresses

Primary practice location

46 Wesley Rd
Daleville, VA 24083-3082

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other identifiers 1

IdentifierTypeStateIssuer
1326105669MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gpotter10198@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040110000083 VA Practitioner - Family Practice 6103726773 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0102201361VAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Nov 18, 2012 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 1, 2014 Accepting new patients
Carilion Medical Center CurrentSince Nov 18, 2012 Accepting new patients
Carilion Giles Community Hospital CurrentSince Oct 3, 2025 Accepting new patients
Carilion Emergency Services, Inc. Family Medicine CurrentSince Mar 15, 2012 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 1, 2014 Accepting new patients
Carilion Giles Community Hospital CurrentSince Oct 3, 2025 Accepting new patients
Unity Urgent Care LLC Past Accepting new patients
Unity Healthcare LLC Past Accepting new patients

Locations

434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000

46 Wesley Rd
Daleville, VA 24083
Phone (540) 591-9440

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

430 Boxwood Ln
Pearisburg, VA 24134
Phone (540) 921-3636

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

1030 S Jefferson St
Ste 106
Roanoke, VA 24016
Phone (540) 343-4092

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

390 S Main St
Ste 1
Rocky Mount, VA 24151
Phone (540) 484-4836

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

1955 W Main St
Salem, VA 24153
Phone (540) 302-0192

Interoperability endpoints

  • Direct secure messaging: gpotter10198@direct.carilionclinic.org

Organizations & group practices 9

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1326105669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WESLEY RD",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240833082",
            "telephone_number": "540-591-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "GREG",
        "middle_name": "LELAND",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0102201361",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326105669",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpotter10198@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gpotter10198@direct.carilionclinic.org",
            "address_1": "46 Wesley Rd",
            "city": "Daleville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240833082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daleville, VA

Sources for this page

Verify at the official NPI Registry.