Active NPI
Gregory J. Potts, M.D.
- Sports Medicine (Family Medicine) Physician
- Louisville, KY
National Provider Identifier
1336182450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 30295
- Practice address
- 9420 Brownsboro Rd
Louisville, KY 40241-1118 - Phone
- (502) 426-4264
- Fax
- (502) 426-4221
- NPI assigned
- Jun 14, 2006
- Last updated
- Oct 25, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 30295 | KY | Primary |
Addresses
Primary practice location
9420 Brownsboro Rd
Louisville, KY 40241-1118
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Phone (502) 253-1035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000052203 | Other | KY | ANTHEM BCBS |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Family & Sports Medicine PSC | Sports Medicine | Past | Accepting new patients |
| Baptist Health Medical Group Inc | Past | Accepting new patients | |
| Baptist Health Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCDDCD/Endpoint/DCDDCD
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1336182450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950248",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950248",
"telephone_number": "502-253-1035",
"fax_number": "502-253-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9420 BROWNSBORO RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402411118",
"telephone_number": "502-426-4264",
"fax_number": "502-426-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "GREGORY",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "KY",
"license": "30295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000052203",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.