Active NPI
Andrew Potter LLC
- Chiropractor
- Alpharetta, GA
National Provider Identifier
1477940914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008522
- Legal business name
- ANDREW POTTER LLC
- Practice address
- 6495 Shiloh Rd
Ste A2-110
Alpharetta, GA 30005-1635 - Phone
- (770) 740-9200
- Fax
- (770) 752-5607
- NPI assigned
- Apr 22, 2015
- Last updated
- Apr 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew P Potter, D.C.
- Title
- Owner
- Phone
- (770) 740-9200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008522 | GA | Primary |
Addresses
Primary practice location
6495 Shiloh Rd
Ste A2-110
Alpharetta, GA 30005-1635
Mailing address
6495 Shiloh Rd
Ste A2-110
Alpharetta, GA 30005-1635
Phone (770) 740-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160128001518 | GA | Part B Supplier - Clinic/Group Practice | 6507169380 | Practice locations: Alpharetta, GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Chiropractor
- Alpharetta, GA
- NPI 1386875508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429660800000",
"number": "1477940914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6495 SHILOH RD",
"address_2": "STE A2-110",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300051635",
"telephone_number": "770-740-9200",
"fax_number": "770-752-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6495 SHILOH RD",
"address_2": "STE A2-110",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300051635",
"telephone_number": "770-740-9200",
"fax_number": "770-752-5607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW POTTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-22",
"last_updated": "2015-04-22",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-740-9200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.