Individual provider Active NPI

Katie Potts

  • Registered Dietitian
  • Peachtree Corners, GA
National Provider Identifier
1326425778
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004426 Issued in GA
Practice address
3937 Holcomb Bridge Rd
Suite 200 and Suite 201
Peachtree Corners, GA 30092-2290
Phone
(855) 850-0274
Fax
(678) 288-7836
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD004426 GA Primary

Addresses

Primary practice location

3937 Holcomb Bridge Rd
Suite 200 and Suite 201
Peachtree Corners, GA 30092-2290

Mailing address

3937 Holcomb Bridge Rd
Suite 200 and Suite 201
Peachtree Corners, GA 30092-2290

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD004426GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
100 Percent Nutrition LLC CurrentSince Sep 30, 2018 Accepting new patients
Teladoc Health Medical Group, P.a. Dietitian, Registered Current Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

5400 Laurel Springs Pkwy
Ste 802
Suwanee, GA 30024
Phone (404) 808-1161

Interoperability endpoints

  • Direct secure messaging: katiepotts-carr@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1326425778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 200 AND SUITE 201",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 200 AND SUITE 201",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922290",
            "telephone_number": "855-850-0274",
            "fax_number": "678-288-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "KATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.