Individual provider Active NPI

Ann Bartz Potter, FNP

  • Family Nurse Practitioner
  • Mount Airy, NC
National Provider Identifier
1417009390
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200125 Issued in NC
Practice address
951 Rockford St
Mount Airy, NC 27030-5323
Phone
(336) 789-5058
NPI assigned
Jan 18, 2007
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200125 NC Primary

Addresses

Primary practice location

951 Rockford St
Mount Airy, NC 27030-5323

Mailing address

PO Box 1490
Boone, NC 28607-0682
Phone (828) 262-3886

Other practice location 1

560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Phone (828) 874-2061

Other practice location 2

240 Highway 105 Ext Ste 100
Boone, NC 28607-4291
Phone (828) 264-7311

Other practice location 3

110 Dutchman Ct
Elkin, NC 28621-2237
Phone (336) 835-7337

Other practice location 4

1533 S Main St
Winston Salem, NC 27127-2738
Phone (336) 770-3288

Other practice location 5

301 E Meeting St Ste 101
Morganton, NC 28655-3594
Phone (828) 608-0800

Other practice location 6

448 Cranberry St
Newland, NC 28657-8800
Phone (828) 737-0221

Other practice location 7

935 State Farm Rd
Boone, NC 28607-4948
Phone (828) 262-3886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715002440 NC Practitioner - Nurse Practitioner 8921311242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Country Community HealthGroup PAC ID 8628225190, 34 clinicians

Practice addresses (Care Compare)

951 Rockford St
Mount Airy, NC 27030-5323
Phone (828) 262-3886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200125NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Surry Medical Ministries Foundation Inc Current Accepting new patients
NC School of Arts Past Accepting new patients

Locations

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

216 Moore Rd
King, NC 27021
Phone (336) 768-1270

485 Valley Rd
Mocksville, NC 27028
Phone (336) 751-8000

865 Westlake Dr
Mount Airy, NC 27030
Phone (336) 719-6100

951 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7993

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

12208 N NC Highway 150
Winston Salem, NC 27127
Phone (336) 764-2324

1995 Bethabara Rd
Winston Salem, NC 27106
Phone (336) 759-7596

305 E Lee Ave
Yadkinville, NC 27055
Phone (336) 679-2661

Interoperability endpoints

  • Direct secure messaging: ann.potter.1@15683.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15683/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1417009390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286070682",
            "telephone_number": "828-262-3886",
            "fax_number": "828-265-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305323",
            "telephone_number": "336-789-5058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Malcolm Blvd",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286127918",
            "country_code": "US",
            "telephone_number": "828-874-2061",
            "fax_number": "888-232-8525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Highway 105 Ext Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074291",
            "country_code": "US",
            "telephone_number": "828-264-7311",
            "fax_number": "828-264-7907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Dutchman Ct",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212237",
            "country_code": "US",
            "telephone_number": "336-835-7337",
            "fax_number": "336-835-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1533 S Main St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271272738",
            "country_code": "US",
            "telephone_number": "336-770-3288",
            "fax_number": "336-770-1490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Meeting St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553594",
            "country_code": "US",
            "telephone_number": "828-608-0800",
            "fax_number": "828-528-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "448 Cranberry St",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286578800",
            "country_code": "US",
            "telephone_number": "828-737-0221",
            "fax_number": "828-737-0321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 State Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074948",
            "country_code": "US",
            "telephone_number": "828-262-3886",
            "fax_number": "828-265-4816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ANN",
        "middle_name": "BARTZ",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.