Individual provider Active NPI

Graeme Potter, M.D.

  • Gynecology Physician
  • Sylva, NC
National Provider Identifier
1770526691
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
2007-00009 Issued in NC
Practice address
377 Macktown Rd
Sylva, NC 28779-7627
Phone
(828) 586-6262
Fax
(828) 412-4294
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2007-00009 NC
Gynecology Physician 207VG0400X 200700009 NC
General Practice Physician 208D00000X 2007-00009 NC
Gynecology Physician 207VG0400X 2007-00009 NC Primary

Addresses

Primary practice location

377 Macktown Rd
Sylva, NC 28779-7627

Mailing address

PO Box 1125
Dillsboro, NC 28725-1125
Phone (828) 586-6262

Other identifiers 2

IdentifierTypeStateIssuer
7274023OtherNCCIGNA
5907766MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000571 NC Practitioner - Obstetrics/GynecologyPractitioner - General Practice 9133159825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Pennsylvania State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

377 Macktown Rd
Sylva, NC 28779-7627
Phone (828) 586-6262

Hospital & facility affiliations

  • Harris Regional Hospital Hospital, Sylva, NC, CCN 340016
  • Angel Medical Center Hospital, Franklin, NC, CCN 341326
  • DLP Swain County Hospital LLC Hospital, Bryson City, NC, CCN 341305
  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-00009NCMDObstetrics & Gynecology Physician
200700009NCMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dogwood Wellness, PA Obstetrics & Gynecology CurrentSince Jul 18, 2008 Accepting new patients

Locations

377 Macktown Rd
Sylva, NC 28779
Phone (828) 586-6262

Interoperability endpoints

  • Direct secure messaging: graeme.potter.1@17886.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1770526691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "DILLSBORO",
            "state": "NC",
            "postal_code": "287251125",
            "telephone_number": "828-586-6262",
            "fax_number": "828-412-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MACKTOWN RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287797627",
            "telephone_number": "828-586-6262",
            "fax_number": "828-412-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "GRAEME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2007-00009",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "200700009",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2007-00009",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "2007-00009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7274023",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907766",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.