Active NPI
Melony C Potts, HAIR LOSS SPECIALIST
- Prosthetist
- Peachtree Corners, GA
National Provider Identifier
1962147124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 5450 Peachtree Pkwy Ste 2E
Attn: Melony Potts #130
Peachtree Corners, GA 30092 - Phone
- (720) 636-3643
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
5450 Peachtree Pkwy Ste 2E
Attn: Melony Potts #130
Peachtree Corners, GA 30092
Mailing address
1415 Villageside CT
Lawrenceville, GA 30043-4411
Phone (720) 636-3643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1962147124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 VILLAGESIDE CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300434411",
"telephone_number": "720-636-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 PEACHTREE PKWY STE 2E",
"address_2": "ATTN: MELONY POTTS #130",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "30092",
"telephone_number": "720-636-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "MELONY",
"middle_name": "C",
"credential": "HAIR LOSS SPECIALIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.