Active NPI
Aikaterine Sofia Pottinger, NP-C
- Family Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1811241854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN192200
- Practice address
- 4166 Buford Hwy NE
Atlanta, GA 30345-1081 - Phone
- (404) 785-8160
- NPI assigned
- Oct 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | RN192200 | GA | Primary |
Addresses
Primary practice location
4166 Buford Hwy NE
Atlanta, GA 30345-1081
Mailing address
4166 Buford Hwy NE
Atlanta, GA 30345-1081
Phone (404) 785-8160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58-2201217 | Other | GA | TAX ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN192200 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1811241854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4166 BUFORD HWY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303451081",
"telephone_number": "404-785-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4166 BUFORD HWY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303451081",
"telephone_number": "404-785-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTINGER",
"first_name": "AIKATERINE",
"middle_name": "SOFIA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN192200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "58-2201217",
"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 Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.