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JARED POTTER MD NPI 1376075192


NPI Information

NPI: 1376075192
Provider Name: JARED POTTER, MD
Classification: Physical Medicine & Rehabilitation - 2081P0301X
Entity Type: Individual

Specialization: Brain Injury Medicine

PECOS Registration: Yes

Address:
2020 PEACHTREE RD NW
ATLANTA, GA
ZIP 30309
Phone: (404) 603-4253
Get Directions

Jared Potter, MD is a brain injury medicine physical medicine rehabilitation in Atlanta, GA with 7 years of experience. The provider is a Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences. Jared Potter, MD NPI is 1376075192. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

2020 PEACHTREE RD NW
ATLANTA, GA
ZIP 30309-465
Phone: (404) 603-4253
Fax: (404) 603-4426

The NPI 1376075192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2017 and was last updated on 9/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P0301XPhysical Medicine & RehabilitationBrain Injury Medicine92729GEORGIAYes
2208100000XPhysical Medicine & RehabilitationIP1557KENTUCKYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.