Individual provider Active NPI

Michael Potts

  • Peer Specialist
  • Franklin Furnace, OH
National Provider Identifier
1396596169
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
303 Gervais Rd
Franklin Furnace, OH 45629-8742
Phone
(740) 259-7000
Fax
(740) 480-5200
NPI assigned
Mar 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X OH Primary

Addresses

Primary practice location

303 Gervais Rd
Franklin Furnace, OH 45629-8742

Mailing address

303 Gervais Rd
Franklin Furnace, OH 45629-8742
Phone (740) 259-7000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Residential Group, LLC CurrentSince Mar 31, 2024 Accepting new patients
Focus Residential Group, LLC PastSince Mar 31, 2024 Accepting new patients

Locations

303 Gervais Rd
Franklin Furnace, OH 45629
Phone (740) 259-7000

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/focusresidential/r4/

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": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1396596169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GERVAIS RD",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298742",
            "telephone_number": "740-259-7000",
            "fax_number": "740-480-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GERVAIS RD",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298742",
            "telephone_number": "740-259-7000",
            "fax_number": "740-480-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Furnace, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.