Marquis Deon Poteat Sr.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

188 Cherry Bark Loop
Clayton, NC 27527-9501

Phone

(919) 520-2542

NPI assigned

Jun 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1336719780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 CHERRY BARK LOOP",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275279501",
            "telephone_number": "919-520-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 CHERRY BARK LOOP",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275279501",
            "telephone_number": "919-520-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTEAT",
        "first_name": "MARQUIS",
        "middle_name": "DEON",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie Pope, PHARM.D.
• Tina Marie Pope, CCC-SLP
• Rachelle Kelly Porath, PT
• Ke'la Hailey Porter
• Shannan Postell, PHARMD
• Tonya Annette Pounds, NP
• Courtney Jennings Powell, PA-C
• Stephanie Renee Powell
• Rajan Prajapati, DDS
• Premise Health of North Carolina Medical PC

• All providers in Clayton, NC
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.