Individual provider Active NPI

Anthony Potter, LMFT, LPC

  • Marriage & Family Therapist
  • Atlanta, GA
National Provider Identifier
1730609843
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001668 Issued in GA
Practice address
2255 Cumberland Pkwy SE
BLDG 500; Suite 300
Atlanta, GA 30339-4515
Phone
(404) 592-7928
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011271 GA
Marriage & Family Therapist 106H00000X AMT000381 GA
Marriage & Family Therapist 106H00000X MFT001668 GA Primary

Addresses

Primary practice location

2255 Cumberland Pkwy SE
BLDG 500; Suite 300
Atlanta, GA 30339-4515

Mailing address

3144 Parc CT SW
Atlanta, GA 30311-5206
Phone (404) 849-9906

Other practice location 1

1291 Stanley Rd NW
Kennesaw, GA 30152-4359
Phone (770) 427-0147 ext. 2462

Other practice location 2

523 Dixie St
Carrollton, GA 30117-3870
Phone (770) 812-8349

Other practice location 3

2710 Jefferson St Ste 1
Austell, GA 30168-4050
Phone (770) 276-9303

Other identifiers 1

IdentifierTypeStateIssuer
003228543AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC011271GAMDProfessional Counselor
AMT000381GAMDMarriage & Family Therapist
MFT001668GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alp Therapy Services Current Accepting new patients

Locations

2255 Cumberland Pkwy SE
Bldg 500
Atlanta, GA 30339
Phone (404) 919-2355

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1730609843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 PARC CT SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303115206",
            "telephone_number": "404-849-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CUMBERLAND PKWY SE",
            "address_2": "BLDG 500; SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394515",
            "telephone_number": "404-592-7928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1291 Stanley Rd NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301524359",
            "country_code": "US",
            "telephone_number": "770-427-0147 x2462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "523 Dixie St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173870",
            "country_code": "US",
            "telephone_number": "770-812-8349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Jefferson St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301684050",
            "country_code": "US",
            "telephone_number": "770-276-9303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ANTHONY",
        "credential": "LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011271",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "AMT000381",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003228543A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.