Individual provider Active NPI

Tiffany Potter, MSN, APRN-BC, FNP-C

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1962867655
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000020369 Issued in TN
Practice address
2350 N Ocoee St
Cleveland, TN 37311-3850
Phone
(423) 244-9296
Fax
(423) 244-9263
NPI assigned
Dec 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000020369 TN Primary

Addresses

Primary practice location

2350 N Ocoee St
Cleveland, TN 37311-3850

Mailing address

645 Paul Huff Pkwy NW
Suites 105 & 106
Cleveland, TN 37312-3149
Phone (423) 790-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20160302001421 TN Practitioner - Nurse Practitioner 0749586642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

2700 Westside Dr NW
Suite 204
Cleveland, TN 37312-3682
Phone (423) 476-3711

Hospital & facility affiliations

  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000020369TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Bradley Physician Services, LLC Family CurrentSince Oct 20, 2025 Accepting new patients

Locations

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

Interoperability endpoints

  • Direct secure messaging: tiffanypotter@tnmhpf.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1962867655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PAUL HUFF PKWY NW",
            "address_2": "SUITES 105 & 106",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123149",
            "telephone_number": "423-790-7750",
            "fax_number": "423-790-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113850",
            "telephone_number": "423-244-9296",
            "fax_number": "423-244-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "TIFFANY",
        "credential": "MSN, APRN-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.