Individual provider Active NPI

Jill G Pottinger, M.D.

  • Emergency Medicine Physician
  • Rome, GA
National Provider Identifier
1639183148
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
042601 Issued in GA
Practice address
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone
(706) 509-6122
Fax
(706) 509-4608
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 042601 GA Primary

Addresses

Primary practice location

304 Turner McCall Blvd SW
Rome, GA 30165-5621

Mailing address

420 E 2ND Ave
Suite 103
Rome, GA 30161-3224
Phone (706) 509-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040820000814 GA Practitioner - Emergency Medicine 8820062391 Reassigns benefits to 3 organizations
I20200728003805 AL Practitioner - Emergency Medicine 8820062391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Emory University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee County Physicians LLCGroup PAC ID 3173860087, 14 clinicians

Practice addresses (Care Compare)

400 Northwodd Dr
Centre, AL 35960-1023
Phone (256) 927-5531

Hospital & facility affiliations

  • Floyd Cherokee Medical Center Hospital, Centre, AL, CCN 010022

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee County Physicians, LLC Emergency Medicine CurrentSince Jun 2, 2020 Accepting new patients
Georgia Hospitalists Group, LLC Current Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Weiss Lake Hospitalists, LLC CurrentSince Jun 2, 2020 Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Etowah Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince May 13, 2017 Accepting new patients
Floyd Cherokee Medical Center LLC Past Accepting new patients
Chattooga River Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639183148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE",
            "address_2": "SUITE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613224",
            "telephone_number": "706-509-3278",
            "fax_number": "706-509-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-6122",
            "fax_number": "706-509-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTINGER",
        "first_name": "JILL",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "042601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.