Andrew Potter, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

51993 Issued in SC

Practice address

316 Calhoun St
Charleston, SC 29401-1113

Phone

(843) 724-2010

NPI assigned

Jul 13, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of North Texas HSC, College of Osteopathic Med, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broad River Physicians Group, LLCGroup PAC ID 8123385143, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
• Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
• Roper Hospital Hospital, Charleston, SC, CCN 420087
• Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Broad River Physicians Group, LLC

  • Emergency Medicine Physician
  • Summerville, SC
  • NPI 1295443000
  Medicare reassignment Care Compare group NPD
• Bon Secours St Francis Xavier Hospital, Inc.

  • Emergency Medicine Physician
  • Charleston, SC
  • NPI 1770867442
  Medicare reassignment NPD
• Roper Hospital Inc

  dba Roper Hospital ER Berkeley

  • Emergency Medicine Physician
  • Moncks Corner, SC
  • NPI 1104983055
  Medicare reassignment NPD
• Roper St. Francis Mount Pleasant Hospital

  dba Mt. Pleasant EKG

  • Cardiovascular Disease Physician
  • Mount Pleasant, SC
  • NPI 1629499298
  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of South Carolina LLC

  • Emergency Medicine Physician
  • Aiken, SC
  • NPI 1730636168
  Medicare reassignment NPD
• Bon Secours St. Francis Xavier Hospital, Inc.

  dba Roper St. Francis Healthcare Pediatrics

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1982583068
  NPD
• Roper Hospital Inc

  dba Roper Hospital ER

  • Emergency Medicine Physician
  • Charleston, SC
  • NPI 1902991607
  NPD
• Roper Hospital Inc.

  dba Vascular Medicine and Wound Management Clinic

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • N Charleston, SC
  • NPI 1104563758
  NPD
• Roper St. Francis Mount Pleasant Hospital

  dba Roper St. Francis Intensivist Services

  • Critical Care Medicine (Internal Medicine) Physician
  • Mount Pleasant, SC
  • NPI 1578362232
  NPD
• Roper St. Francis Mount Pleasant Hospital

  dba Mount Pleasant Hospital ER

  • Emergency Medicine Physician
  • Mount Pleasant, SC
  • NPI 1649587270
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours St. Francis Xavier Hospital Inc.

  dba Roper St. Francis Intensivist Services

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1851361778
  Care Compare affiliation
• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare affiliation
• Roper St Francis Hospital-Berkeley Inc.

  dba Roper St. Francis Intensivist Services

  • General Acute Care Hospital
  • Summerville, SC
  • NPI 1336603646
  Care Compare affiliation
• Roper St. Francis Mount Pleasant Hospital

  dba Mount Pleasant Hospital

  • General Acute Care Hospital
  • Mount Pleasant, SC
  • NPI 1255645644
  Care Compare affiliation

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1619232832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601495",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011113",
            "telephone_number": "843-724-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P3225",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "51993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519932",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen M Poston, DNP, NP-C
• Mary Baron Poston, SLP
• Tim Arthur Poston, PHARM.D
• Elizabeth Poth, M.S.
• Paul Joseph Pottanat, MD
• Benjamin David Potter, M.D.
• Francesca Potter
• Joan G Potter, M.D.
• Marsha Potter
• Megan Potter, SLP

• Emergency Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.