Active NPI
Jeffery S Potter, DO
- Family Medicine Physician
- Pikeville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02805
- Practice address
- 50 Weddington Branch Rd Ste B
Pikeville, KY 41501-3296 - Phone
- (606) 637-6377
- NPI assigned
- Jul 24, 2006
- Last updated
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 02805 | KY | |
| Emergency Medicine Physician | 207P00000X | 02805 | KY | |
| Family Medicine Physician | 207Q00000X | 02805 | KY | Primary |
Addresses
Primary practice location
50 Weddington Branch Rd Ste B
Pikeville, KY 41501-3296
Mailing address
1709 Ky Route 321 Ste 3
Prestonsburg, KY 41653-9097
Phone (606) 349-7474
Other practice location 1
23 Willow Dr
Auxier, KY 41602-9259
Phone (606) 886-8997
Other practice location 2
246 Ky Route 979
Harold, KY 41635-9046
Phone (606) 478-2200
Other practice location 3
450 S Mayo Trl
Paintsville, KY 41240-1220
Phone (606) 887-6145
Other practice location 4
7629 Ky Route 979
Grethel, KY 41631-6304
Phone (606) 587-2200
Other practice location 5
940 Parkway Dr
Salyersville, KY 41465-9251
Phone (606) 349-5126
Other practice location 6
452 Tom Frazier Way
Salyersville, KY 41465-7704
Phone (606) 349-5126
Other practice location 7
6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Big Sandy Health Care, Inc
Practice addresses (Care Compare)
178 Douglas Pkwy
Pikeville, KY 41501-6970
Phone (606) 639-3135
50 Weddington Branch Rd
Suite B
Pikeville, KY 41501-3296
Phone (606) 637-6377
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Sandy Health Care, Inc | Current | Accepting new patients | |
| BHG Lviii, LLC | Addiction Medicine | Current | Accepting new patients |
| Frontier Behavioral Health Center PLLC | Current | Accepting new patients | |
| Big Sandy Health Care Inc | Current | Accepting new patients | |
| Big Sandy Health Care Inc | Current | Accepting new patients | |
| BHG Lviii, LLC | Addiction Medicine | Current | Accepting new patients |
| Frontier Medical Associates of Paintsville Inc | Current | Accepting new patients | |
| Big Sandy Health Care Inc | Current | Accepting new patients | |
| Big Sandy Health Care Inc | Current | Accepting new patients | |
| Albaree Health Services LLC | Family Medicine | Current | Accepting new patients |
| Big Sandy Health Care Inc | Current | Accepting new patients | |
| Jenkins Healthcare Company Inc | Past | Accepting new patients | |
| Marshall Emergency Services Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
| Jenkins Community Hospital Dba Jenkins Community Hospital | Past | Accepting new patients | |
| Kentucky Addiction Centers Paintsville, LLC | Family Medicine | Past | Accepting new patients |
Locations
23 Willow Dr
Auxier, KY 41602
Phone (606) 886-8997
1000 Ace Dr
Rm 100
Berea, KY 40403
Phone (859) 756-5006
7617 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200
7629 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200
246 Ky Route 979
Harold, KY 41635
Phone (606) 478-2200
6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412
450 S Mayo Trl
Paintsville, KY 41240
Phone (606) 887-6145
713 Broadway St
Ste 301B
Paintsville, KY 41240
Phone (606) 372-1234
178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135
50 Weddington Branch Rd
Ste B
Pikeville, KY 41501
Phone (606) 432-2172
1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546
452 Tom Frazier Way
Salyersville, KY 41465
Phone (606) 349-5126
842 E Mountain Pkwy
Salyersville, KY 41465
Phone (606) 349-8100
900 Tom Frazier Way
#200
Salyersville, KY 41465
Phone (606) 349-8100
940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412
6340 US Highway 460
Staffordsvlle, KY 41256
Phone (606) 297-1501
5001 Spring Vly
Ste 600E
Dallas, TX 75244
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Salyersville, KY
- NPI 1730232182
Family Medicine
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Hazard, KY
- NPI 1417696543
-
- Federally Qualified Health Center (FQHC)
- Salyersville, KY
- NPI 1922594506
-
dba Martin County Community Health Center
- Federally Qualified Health Center (FQHC)
- Inez, KY
- NPI 1104055805
-
- Multi-Specialty Clinic/Center
- Salyersville, KY
- NPI 1295287118
-
- Rural Health Clinic/Center
- Paintsville, KY
- NPI 1568070142
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Richmond, KY
- NPI 1174363733
-
dba Hope Family Medical Center
- Federally Qualified Health Center (FQHC)
- Salyersville, KY
- NPI 1326080110
-
dba Johnson County Community Health Center
- Federally Qualified Health Center (FQHC)
- Paintsville, KY
- NPI 1326729773
-
dba Physicians for Women
- Federally Qualified Health Center (FQHC)
- Auxier, KY
- NPI 1588606370
-
dba Shelby Valley Clinic
- Federally Qualified Health Center (FQHC)
- Pikeville, KY
- NPI 1700828597
-
- Clinic/Center
- Elkhorn City, KY
- NPI 1922143213
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1851313266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 KY ROUTE 321 STE 3",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416539097",
"telephone_number": "606-349-7474",
"fax_number": "606-349-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WEDDINGTON BRANCH RD STE B",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013296",
"telephone_number": "606-637-6377"
}
],
"practiceLocations": [
{
"address_1": "23 Willow Dr",
"address_purpose": "LOCATION",
"city": "Auxier",
"state": "KY",
"postal_code": "416029259",
"country_code": "US",
"telephone_number": "606-886-8997",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "246 Ky Route 979",
"address_purpose": "LOCATION",
"city": "Harold",
"state": "KY",
"postal_code": "416359046",
"country_code": "US",
"telephone_number": "606-478-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 S Mayo Trl",
"address_purpose": "LOCATION",
"city": "Paintsville",
"state": "KY",
"postal_code": "412401220",
"country_code": "US",
"telephone_number": "606-887-6145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7629 Ky Route 979",
"address_purpose": "LOCATION",
"city": "Grethel",
"state": "KY",
"postal_code": "416316304",
"country_code": "US",
"telephone_number": "606-587-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "940 Parkway Dr",
"address_purpose": "LOCATION",
"city": "Salyersville",
"state": "KY",
"postal_code": "414659251",
"country_code": "US",
"telephone_number": "606-349-5126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "452 Tom Frazier Way",
"address_purpose": "LOCATION",
"city": "Salyersville",
"state": "KY",
"postal_code": "414657704",
"country_code": "US",
"telephone_number": "606-349-5126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6500 Highway 645",
"address_2": "Ste 110",
"address_purpose": "LOCATION",
"city": "INEZ",
"state": "KY",
"postal_code": "41224",
"country_code": "US",
"telephone_number": "606-298-3412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTTER",
"first_name": "JEFFERY",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2024-09-17",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "KY",
"license": "02805",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "02805",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "02805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, KY
- Pikeville Radiology
- Pikeville Radiology PLLC
- Pikeville Spine, Sports & Joint Pain Center L.L.C,.
- James R Poliquin, M.D.
- Brit C Potter Jr., LAC
- Ashley Nicole Prater, APRN
- Telisha Nichole Prater, APRN
- Premier Home Care, Inc (AeroCare Home Medical Supply)
- Priscillia R. Presley, BS
- Kristen Preston, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.
- 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.