Nathan Lee Potter, PA is a medicare enrolled "Physician Assistant" physician in Tucker, Georgia. He went to Emory University School Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice The Emory Clinic Inc and his current practice location is
4017 Northlake Creek Dr, Tucker, Georgia. You can reach out to his office (for appointments etc.) via phone at
(317) 501-9558.
Nathan Lee Potter is licensed to practice in Georgia (license number 7517) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073904181.
Physician's Profile
| Full Name | Nathan Lee Potter |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 12 Years |
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| Location | 4017 Northlake Creek Dr, Tucker, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nathan Lee Potter attended and graduated from Emory University School Of Medicine in 2014
NPI Data:
- NPI Number: 1073904181
- Provider Enumeration Date: 02/11/2015
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810215837
- Enrollment ID: I20150422002053
Medical Identifiers
Medical identifiers for Nathan Lee Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073904181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 007517 (Georgia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 7517 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Emory Clinic Inc | 8820901408 | 3507 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nathan Lee Potter allows following entities to bill medicare on his behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503 |
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| Entity Name | Piedmont Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376624940
PECOS PAC ID: 3274529524
Enrollment ID: O20040423000767 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathan Lee Potter is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Nathan Lee Potter, PA
4017 Northlake Creek Dr,
Tucker, GA 30084-3423
Ph: Not Available | Nathan Lee Potter, PA
4017 Northlake Creek Dr,
Tucker, GA 30084-3423
Ph: (317) 501-9558 |
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