Active NPI
Amanda Lynd Potter, FNP
- Family Nurse Practitioner
- Thomasville, GA
National Provider Identifier
1760923304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- GA228981
- Practice address
- 915 Gordon Ave
Thomasville, GA 31792-6614 - Phone
- (229) 228-2000
- NPI assigned
- Mar 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | GA228981 | GA | Primary |
Addresses
Primary practice location
915 Gordon Ave
Thomasville, GA 31792-6614
Mailing address
PO Box 1018
Thomasville, GA 31799-1018
Phone (229) 228-2000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA228981 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1760923304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1018",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317991018",
"telephone_number": "229-228-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 GORDON AVE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926614",
"telephone_number": "229-228-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "AMANDA",
"middle_name": "LYND",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GA228981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, GA
- Anna Katherine Pomeroy, CCC-SLP
- Keerthi Kiran Ponugoti, MD
- Jeremy W Poole, D.O.
- Michelle Manning Popiel, OT
- Jenna Poppell, NP
- Cynthia Diane Prather, NURSE PRACTITIONER
- Yetiva Renea Prather, LCSW
- Precious Hands Healthcare Services, LLC. (Precious Hands Healthcare)
- Precious Private in Homecare, LLC (Precious Private In Homecare)
- David K. Price, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.