KENDRA RAE POTTER PA-C NPI 1255997086

NPI Information

  • NPI: 1255997086
  • Provider Name: KENDRA RAE POTTER, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4221 FORT HENRY DR STE 1
    KINGSPORT, TN
    ZIP 37663
  • Phone: (423) 726-2672

Map and Directions

Get Directions

NPI Details

Kendra Rae Potter, PA-C is a physician assistant in Kingsport, TN with 8 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. Kendra Rae Potter, PA-C NPI is 1255997086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4221 FORT HENRY DR STE 1
KINGSPORT, TN
ZIP 37663-227
Phone: (423) 726-2672
Fax: (423) 406-1399

The NPI 1255997086 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, ropivacaine hydrochloride, 1 mg (HCPCS:J2795)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Injection into tendon or ligament (HCPCS:20550)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of lower leg, 2 views (HCPCS:73590)

The enumeration date for this NPI number is 5/16/2019 and was last updated on 7/31/2025.

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
1363A00000XPhysician AssistantTENNESSEENo
2363A00000XPhysician Assistant0110008946VIRGINIANo
3363AM0700XPhysician AssistantMedical4173TENNESSEENo
4363A00000XPhysician Assistant4173TENNESSEEYes

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

NPI Synchronization or Removal

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.