Eric C Potter, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36165 Issued in TN

Practice address

2033 Meadowview LN
Ste 200
Kingsport, TN 37660-7569

Phone

(423) 857-2793

Fax

(423) 578-8025

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2014 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBFIAA

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.

• Children and Adults Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Nashville, TN
  • NPI 1659487494
  NPD (past)
• Francis J. Fenaughty MD, P.C.

  • Emergency Medicine Physician
  • Germantown, TN
  • NPI 1437141538
  NPD (past)
• Holston Medical Group PC

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1831110667

  Internal Medicine

  NPD (past)
• Methodist Healthcare - Memphis Hospitals

  • Cardiovascular Disease Physician
  • Memphis, TN
  • NPI 1043202088
  NPD (past)
• Methodist Healthcare - Memphis Hospitals

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1225723133
  NPD (past)
• Methodist Healthcare - Memphis Hospitals

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1245383355
  NPD (past)
• St. Thomas Medical Group PLLC

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1467472258
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1730180423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2066",
            "fax_number": "423-857-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MEADOWVIEW LN",
            "address_2": "STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607569",
            "telephone_number": "423-857-2793",
            "fax_number": "423-578-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ERIC",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "36165",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "36165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00635228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4178280",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38763541",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4142480",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAID",
            "identifier": "7100046250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith G Porter, MD
• Positive Vibes ABA, LLC
• Benjamin Potter, DPM
• Billy N Potter, D.PH.
• Elizabeth Pierce Potter, BS
• Kendra Rae Potter, PA-C
• Cheryl Riggs Powers, RN, BS
• Kathleen Powers, FNP-BC
• Madison Shipley Powers
• Margaret Ann Powers, BSW

• Internal Medicine Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.