Individual provider Active NPI

Michelle Potter Hill, MS CCC-SLP

  • Speech-Language Pathologist
  • Mooresville, NC
National Provider Identifier
1477021525
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9941 Issued in NC
Practice address
249 Williamson Rd Ste 102
Mooresville, NC 28117-6863
Phone
(704) 746-9698
NPI assigned
Nov 7, 2018
Last updated
Nov 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9941 NC Primary

Addresses

Primary practice location

249 Williamson Rd Ste 102
Mooresville, NC 28117-6863

Mailing address

111 Sago LN
Mooresville, NC 28117-4369
Phone (704) 746-9698

Other names 1

  • Michelle Lynn Potter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201229003084 NC Practitioner - Qualified Speech Language Pathologist 1153734645 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collective Therapy CorpGroup PAC ID 0143651802, 75 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

507 Wakefield Dr
Apt C
Charlotte, NC 28209-3148
Phone (704) 285-8207

548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9941NCMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc. Speech-Language Pathologist CurrentSince Oct 13, 2025 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Oct 13, 2025 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Nov 23, 2022 Accepting new patients
Collective Therapy Corp. Speech-Language Pathologist CurrentSince Jan 7, 2025 Accepting new patients
Resurgence Neuro Rehab, PLLC Speech-Language Pathologist CurrentSince Dec 10, 2020 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Nov 23, 2022 Accepting new patients
Lake Norman Communication Services, Inc. Speech-Language Pathologist PastSince Sep 1, 2019 Accepting new patients

Locations

8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225

320 Copperfield Blvd NE
Ste B
Concord, NC 28025
Phone (704) 264-0528

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

4311 School House Cmns
Harrisburg, NC 28075
Phone (704) 436-4078

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

548 White Oaks Dr
Salisbury, NC 28147
Phone (704) 507-0135

Organizations & group practices 7

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1477021525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SAGO LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174369",
            "telephone_number": "704-746-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 WILLIAMSON RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176863",
            "telephone_number": "704-746-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "MICHELLE",
        "middle_name": "POTTER",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "POTTER",
            "middle_name": "LYNN",
            "credential": "MS CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.