Kelley Smith Potts, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

74759 Issued in GA

Practice address

Ut College of Medicine 920 Madison Ave
Suite C50
Memphis, TN 38163-0001

Phone

(901) 448-5364

NPI assigned

Apr 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Diagnostic Radiology

Education

Mercer University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of Atlanta PAGroup PAC ID 4486647435, 41 clinicians

Piedmont Community Imaging LLCGroup PAC ID 6406346527, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

Merit-based Incentive Payment System (MIPS)

Final score

85.48 of 100Reported as group

Quality

84.83

Improvement activities

40

Cost

79.39

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.

• Piedmont Community Imaging, LLC

  • Radiology Clinic/Center
  • Columbus, GA
  • NPI 1134011331

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Radiology Associates of Atlanta, PA

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1528043718
  Medicare reassignment Care Compare group NPD
• Henry County Radiology Associates

  • Diagnostic Radiology Physician
  • Stockbridge, GA
  • NPI 1265484182
  Medicare reassignment NPD
• Henry County Radiology Associates

  • Diagnostic Radiology Physician
  • Griffin, GA
  • NPI 1235382375
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Piedmont Hospital, Inc

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1962461681
  Care Compare affiliation

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1851566475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHARTER LN",
            "address_2": "APT. 409",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104534",
            "telephone_number": "478-319-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UT COLLEGE OF MEDICINE 920 MADISON AVE",
            "address_2": "SUITE C50",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381630001",
            "telephone_number": "901-448-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "KELLEY",
        "middle_name": "SMITH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "74759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Potter, PT, DPT
• Brian S. Potter, PSYD
• Kim Potter, MD
• Timothy Alan Potter, MD
• Jennifer Potts, NP
• Marcus Potts
• Randolph Gerald Potts, PH.D.
• Elisabeth Ellen Pouncey, M.A., CCC-SLP
• Kerri Pounders, PTA
• Crystal Pourciau, M.D.

• Diagnostic Radiology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.

Verify at the official NPI Registry.