Jennifer Potts, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

18965 Issued in TN

Practice address

4901 Raleigh Common Dr Ste 100
Memphis, TN 38128-2478

Phone

(901) 572-1801

Fax

(901) 730-0683

NPI assigned

Jul 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Mississippi School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Physician Group LLCGroup PAC ID 9537291323, 101 clinicians

Heart Center USA IncorporatedGroup PAC ID 7315287794, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Heart Center USA Incorporated

  • Cardiovascular Disease Physician
  • Memphis, TN
  • NPI 1073085189
  Medicare reassignment Care Compare group NPD
• Specialty Physician Group LLC

  • Cardiovascular Disease Physician
  • Germantown, TN
  • NPI 1174842181
  Medicare reassignment Care Compare group
• Midsouth Independent Group, PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1861009326
  Medicare reassignment NPD

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

• Methodist Healthcare - Memphis Hospitals

  • Children's Hospital
  • Memphis, TN
  • NPI 1386709871
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1558365890
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • Children's Hospital
  • Germantown, TN
  • NPI 1649654450
  Care Compare affiliation

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1649688987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 RALEIGH COMMON DR STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282478",
            "telephone_number": "901-572-1801",
            "fax_number": "901-730-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 RALEIGH COMMON DR STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282478",
            "telephone_number": "901-572-1801",
            "fax_number": "901-730-0683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6005 Park Ave",
            "address_2": "Suite 500-B",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381195202",
            "country_code": "US",
            "telephone_number": "901-683-6925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 Southcrest Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386716729",
            "country_code": "US",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2996 Kate Bond Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334063",
            "country_code": "US",
            "telephone_number": "901-300-2971",
            "fax_number": "901-384-8988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "18965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "902367",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Joseph Poteet
• Alexis Potter, PT, DPT
• Brian S. Potter, PSYD
• Kim Potter, MD
• Timothy Alan Potter, MD
• Kelley Smith Potts, M.D.
• Marcus Potts
• Randolph Gerald Potts, PH.D.
• Elisabeth Ellen Pouncey, M.A., CCC-SLP
• Kerri Pounders, PTA

• Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.