Mellissa A. Potter, APRN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0000027891 Issued in TN

Practice address

142 Mall Church Rd
Cedar Bluff, VA 24609-7081

Phone

(865) 803-8372

NPI assigned

Mar 10, 2021

Sex

Female

Sole proprietor

No

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 VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Starting Point of Virginia, P.C.

  • Multi-Specialty Clinic/Center
  • Abingdon, VA
  • NPI 1760949127
  Medicare reassignment NPD
• Appalachian Counseling and Medical, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Cedar Bluff, VA
  • NPI 1477177590
  NPD
• Starting Point of Virginia, P.C.

  • Clinical Medical Laboratory
  • Abingdon, VA
  • NPI 1720656259
  NPD

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1922683036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ORCHARD RD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434022",
            "telephone_number": "142-351-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MALL CHURCH RD",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246097081",
            "telephone_number": "865-803-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "MELLISSA",
        "middle_name": "A.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "0000027891",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Orr, LPTA
• Ashley Michelle Osborne, LPN
• Andrea Perkins, LPC
• Douglas Gene Perkins, LPC
• Jimmie Marie Perkins, LPC
• Preferred Hospice Inc.
• Ashley Nicole Pruett, LPC
• Paula Michele Ratliff
• Rodney S Ratliff, RPH
• Lara Danielle Ray, PMHNP

• Nurse Practitioner in Cedar Bluff, VA
• Providers in Cedar Bluff, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.