Jayaprada Potla, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P7542 Issued in TX

Practice address

8787 N Macarthur Blvd
Suite No 120 B
Irving, TX 75063-5446

Phone

(864) 884-5166

NPI assigned

Aug 13, 2006

Last updated

Jun 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jayaprada Nandipati Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1659383966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 N MACARTHUR BLVD",
            "address_2": "SUITE NO 120 B",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635446",
            "telephone_number": "864-884-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 N MACARTHUR BLVD",
            "address_2": "SUITE NO 120 B",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635446",
            "telephone_number": "864-884-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTLA",
        "first_name": "JAYAPRADA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7542",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "45462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYAPRADA",
            "last_name": "NANDIPATI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ann Porter, ARNP
• James Franklin Porter, PHD
• Jane Wofford Porter, AUD
• Rebecca Zellmer Posey, MD
• Positive Behavior Supports Corporation
• Madhu Potla, MD
• Chelsea Marisa Potts, APRN, CNM
• Srijana Poudel
• Adriane Powell
• Charles Lee Powell, MD

• Family Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.