Lisa Potter Bulot, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003543 Issued in GA

Practice address

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone

(678) 312-4214

NPI assigned

May 20, 2025

Last updated

May 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Adalee Potter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1427840107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LAUREL LAKE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243270",
            "telephone_number": "225-301-3981",
            "fax_number": "225-301-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467694",
            "telephone_number": "678-312-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULOT",
        "first_name": "LISA",
        "middle_name": "POTTER",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "POTTER",
            "middle_name": "ADALEE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brent Bulkin, D.C.
• Drew Bulkin, D.C.
• Mikell Desmond Bull, MA, ST
• Hannah Elizabeth Bullard, APRN, CNM
• Ashley A Bullington, MSW
• Adrienne Reshay Bunkley
• Kari Renee Burfield, LMT, MMP
• Daniel Patrick Burke, DO
• Jessica Burnett, RN
• Kimberly Eve Burnett, CCC-SLP

• Registered Dietitian in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.