Potter Medical Services LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R857846 Issued in MS

Legal business name

POTTER MEDICAL SERVICES LLC

Practice address

1462 Highway 1 S
Greenville, MS 38701-7140

Phone

(662) 702-5121

Fax

(662) 702-5123

NPI assigned

Apr 8, 2016

Last updated

Jan 31, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rhonda F Potter, FNPNPI 1215957758

Title

Manger FNP

Phone

(662) 820-3999

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rhonda F Potter, NP

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1215957758
  Authorized official Same address or phone

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1437513108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N DEER CREEK DR E",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387562749",
            "telephone_number": "662-820-3999",
            "fax_number": "662-702-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017140",
            "telephone_number": "662-702-5121",
            "fax_number": "662-702-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTER MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANGER FNP",
        "authorized_official_telephone_number": "662-820-3999",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R857846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08175511",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willie Andrew Pole Jr., LCSW
• Port City Adult Daycare
• Port City Personal Care Services LLC
• John M Portera, DPM
• Joseph Peter Portera, O.D.
• Rhonda F Potter, NP
• Deonte R Powell Sr., PHARM.D
• Millicent Alicia Powell
• Premier Anesthesia of Mississippi LLC
• Premier Counseling Services, LLC

• Family Nurse Practitioner in Greenville, MS
• Providers in Greenville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.