J T Potter Jr MD PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

0101232468 Issued in VA

Legal business name

J T POTTER JR MD PC

Practice address

611 Trent St NE
Suite a
Norton, VA 24273

Phone

(276) 679-0800

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

James Thomas Potter, MDNPI 1437286853

Title

Ceo

Phone

(276) 679-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Thomas Potter Jr., M.D.

  • Pediatric Adolescent Medicine Physician
  • Norton, VA
  • NPI 1437286853
  Medicare reassignment Care Compare group NPD Authorized official
• Brittany B Hubbard, FNP

  • Family Nurse Practitioner
  • Norton, VA
  • NPI 1114689486
  Medicare reassignment Care Compare group NPD
• Arunachalam M Vedhanayakam, MD

  • Pediatrics Physician
  • Norton, VA
  • NPI 1134134539
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1841216496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 RIDGEFIELD RD SW",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242935607",
            "telephone_number": "276-679-0800",
            "fax_number": "276-679-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 TRENT ST NE",
            "address_2": "SUITE A",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "24273",
            "telephone_number": "276-679-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J T POTTER JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-679-0800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101232468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010002761",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunsaker Enterprises LLC
• Jason Hunsaker, PHARMD
• Jonathan M. Hutchins, NP
• Rafi Iftekhar, MD
• Infinity Medical Management, LLC
• J W Campbell DO PC
• Faith Elizabeth Jackson, DO
• Nusrat Jahan, MD
• Joseph Bram Johns, M.D.
• Megan Brittany Johnson, D.O.

• Pediatric Adolescent Medicine Physician in Norton, VA
• Providers in Norton, VA by specialty
• Pediatric Adolescent Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.