Scott T. Pottratz, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

072760 Issued in GA

Practice address

1499 Fair Rd
Statesboro, GA 30458-1683

Phone

(912) 486-1510

NPI assigned

May 25, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in IN, GA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Georgia Emergency Associates

  • Emergency Medicine Physician
  • Rincon, GA
  • NPI 1528098290
  Medicare reassignment NPD
• Advanced Pediatric Specialists LLC

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1073046397
  NPD (past)
• Acs Primary Care Physicians-Midwest

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1609811413
  NPD (past)
• County Seat Emergency Physicians LLC

  • Emergency Medicine Physician
  • Frankfort, IN
  • NPI 1437197159
  NPD (past)
• Emergency Professionals of Indiana, P.C.

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1013951219
  NPD (past)
• Hoosier Emergency Physicians LLC

  • Emergency Medicine Physician
  • Sullivan, IN
  • NPI 1720026826
  NPD (past)
• Midwest Medical Management, P.C.

  • Emergency Medicine Physician
  • Terre Haute, IN
  • NPI 1417996430
  NPD (past)
• University Medical Diagnostic Associates, Inc.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1861441537
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1790731628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 HWY 21 S",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313269416",
            "telephone_number": "912-295-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581683",
            "telephone_number": "912-486-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTRATZ",
        "first_name": "SCOTT",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01036697",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "072760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119850",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSIN",
            "identifier": "000000365696",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Peter Piros, M.D.
• Leslie A Pittman, MD
• Linda Charanne Pittman
• John Michael Porter, O.D
• Shani Porter
• Madison Powell
• Matthew Daniel Powellson, M.D.
• Premier Dental Wellness LLC
• Premise Health of Georgia Medical PC
• Hope Price, ATC, LAT

• Emergency Medicine Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.