MR. MATTHEW RAY POTTS PA-C NPI 1407839079

NPI Information

  • NPI: 1407839079
  • Provider Name: MR. MATTHEW RAY POTTS, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 354 COPPERFIELD BLVD NE
    CONCORD, NC
    ZIP 28025
  • Phone: (704) 786-5122

Map and Directions

Get Directions

NPI Details

MR. Matthew Ray Potts, PA-C is a physician assistant in Concord, NC. 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. MR. Matthew Ray Potts, PA-C NPI is 1407839079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

354 COPPERFIELD BLVD NE
CONCORD, NC
ZIP 28025-402
Phone: (704) 786-5122
Fax: (704) 782-8279

The enumeration date for this NPI number is 11/28/2005 and was last updated on 11/21/2016.

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
1363AS0400XPhysician AssistantSurgical0001-04182NORTH CAROLINANo
2363A00000XPhysician Assistant104182NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1215715106AMEDICAIDGEORGIA
2215715106BMEDICAIDGEORGIA
3215715106CMEDICAIDGEORGIA
4215715106DMEDICAIDGEORGIA
5Q63848MEDICARE UPINNORTH CAROLINA
6202I974818MEDICARE PINGEORGIA
7215715106EMEDICAIDGEORGIA

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: 3/30/2025

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.

Previous NPI
Next NPI