Individual provider Active NPI

Jeffery S Potter, DO

  • Family Medicine Physician
  • Pikeville, KY
National Provider Identifier
1851313266
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02805 Issued in KY
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000009 KY Practitioner - Family PracticePractitioner - Addiction Medicine 1355247057 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
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, IncGroup PAC ID 1951211218, shared by 17 NPIs, 51 clinicians

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

OrganizationSpecialtyStatusNew patients
Big Sandy Health Care, Inc Current Accepting new patients
BHG Lviii, LLC Addiction Medicine CurrentSince Oct 9, 2025 Accepting new patients
Frontier Behavioral Health Center PLLC CurrentSince Aug 1, 2019 Accepting new patients
Big Sandy Health Care Inc CurrentSince Aug 25, 2019 Accepting new patients
Big Sandy Health Care Inc CurrentSince Aug 5, 2019 Accepting new patients
BHG Lviii, LLC Addiction Medicine Current Accepting new patients
Frontier Medical Associates of Paintsville Inc CurrentSince Aug 1, 2020 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 CurrentSince Aug 1, 2019 Accepting new patients
Big Sandy Health Care Inc CurrentSince Aug 5, 2019 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 PastSince Mar 28, 2021 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.

View all 15

Hospital & facility affiliations 1

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": "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

Sources for this page

Verify at the official NPI Registry.