NATHAN LEE POTTER PA NPI 1073904181

NPI Information

  • NPI: 1073904181
  • Provider Name: NATHAN LEE POTTER, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4017 NORTHLAKE CREEK DR
    TUCKER, GA
    ZIP 30084
  • Phone: (317) 501-9558

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NPI Details

Nathan Lee Potter, PA is a physician assistant in Tucker, GA with 12 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Nathan Lee Potter, PA NPI is 1073904181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

4017 NORTHLAKE CREEK DR
TUCKER, GA
ZIP 30084-423
Phone: (317) 501-9558

The NPI 1073904181 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Critical care, each additional 30 minutes (HCPCS:99292)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)

The enumeration date for this NPI number is 2/11/2015 and was last updated on 6/10/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine007517GEORGIANo
2363AM0700XPhysician AssistantMedicalNo
3363A00000XPhysician Assistant7517GEORGIAYes

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: 11/21/2025

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