JARED POTTER MD
NPI 1376075192
Physical Medicine & Rehabilitation - Brain Injury Medicine in Atlanta, GA
NPI Status: Active since March 30, 2017
Contact Information
2020 PEACHTREE RD NW
ATLANTA, GA
ZIP 30309
Phone: (404) 603-4253
Fax: (404) 603-4426
- Individual
- Male
- Years of Experience 9
- Physical Medicine & Rehabilitation
- Brain Injury Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JARED POTTER
This page provides the complete NPI Profile along with additional information for Jared Potter, a provider established in Atlanta, Georgia with a medical specialization in Physical Medicine & Rehabilitation, focusing in brain injury medicine and more than 9 years of experience. He graduated from University Of Kentucky College Of Medicine in 2017. The healthcare provider is registered in the NPI registry with number 1376075192 assigned on March 2017. The practitioner's primary taxonomy code is 2081P0301X with license number 92729 (GA). The provider is registered as an individual and his NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1376075192
- Provider Name
- JARED POTTER MD
- Other Name
- JARED RAY
- Other Name Type
- Former Name (1)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2020 PEACHTREE RD NW ATLANTA, GA 30309
- Location Phone
- (404) 603-4253
- Location Fax
- (404) 603-4426
- Mailing Address
- 2050 VERSAILLES RD LEXINGTON, KY 40504
- Medical School Name
- UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
- Graduation Year
- 2017
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-30-2017
- Last Update Date
- 09-23-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Brain Injury Medicine
- Taxonomy Code
- 2081P0301X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 92729
- License State
- GA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | IP1557 (KY) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
Jared Potter is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jared Potter is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3779831227
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20221011002777
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for JARED POTTER MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 7 | 6 | 0 | 7 | 5 | 1 | 9 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 14 | 6 | 0 | 7 | 10 | 1 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 4 + 6 + 0 + 7 + 1 + 0 + 1 + 1 + 8 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1376075192 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1194756981 | JOHN L LIN MD Individual | Physical Medicine & Rehabilitation | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (404) 352-2020 |
1891726675 | DAVID F APPLE MD Individual | Orthopaedic Surgery | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (404) 352-2020 |
1780616425 | URSZULA I KLICH PHD Individual | Neurological Surgery | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (866) 327-2166 |
1144252610 | RHONDA TAUBIN MD Individual | Physical Medicine & Rehabilitation | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (404) 352-2020 |
1871526806 | PAMELA PENN LPC Individual | Counselor | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (866) 327-2166 |
1386678316 | NANCY ZAMORA-MILLER LPC Individual | Counselor | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (866) 327-2166 |
1316971922 | TRACY WALKER NPC Individual | Nurse Practitioner | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (866) 327-2166 |
1821023359 | ERIK T SHAW D.O. Individual | Physical Medicine & Rehabilitation | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (404) 352-2020 |
1669497749 | LAURA SCHMEIER CNP Individual | Nurse Practitioner | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (866) 327-2166 |
1043235211 | BEN W THROWER MD Individual | Psychiatry & Neurology (Neurology) | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (404) 352-2020 |
1740205848 | DONALD P LESLIE MD Individual | Physical Medicine & Rehabilitation | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (404) 352-2020 |
1497770556 | GERALD S BILSKY MD Individual | Physical Medicine & Rehabilitation | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (404) 352-2020 |
1326063850 | STEPHEN MACCIOCCHI PHD Individual | Psychiatry & Neurology (Neurology) | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (866) 327-2166 |
1962428623 | CHERYL LINDEN LPC Individual | Counselor (Professional) | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (866) 327-2166 |
1801815923 | TERRI KOHN LPC Individual | Counselor (Professional) | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (866) 327-2166 |
1780604058 | WAYNE WARE LPC Individual | Counselor | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (866) 327-2166 |
1396928644 | MRS. MYRTICE BARBER ATRICE PT Individual | Physical Therapist (Neurology) | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (404) 350-7487 |
1063696813 | ANNA CHOO ELMERS M.D. Individual | Physical Medicine & Rehabilitation | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (404) 603-4279 |
1306013578 | COLBY BIXBY DOEPEL NP-C Individual | Nurse Practitioner | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (404) 352-2020 |
1730410374 | CHRISTOPHER NESBITT MPT Individual | Physical Therapist | 2020 PEACHTREE RD NW ATLANTA, GA 30309 (404) 603-4266 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376075192, enumerated in the NPI registry as an "individual" on March 30, 2017
The provider is located at 2020 Peachtree Rd Nw Atlanta, Ga 30309 and the phone number is (404) 603-4253
The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 2081P0301X with a focus in Brain Injury Medicine
The provider has more than 9 years of experience. He graduated from University Of Kentucky College Of Medicine in 2017.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 30, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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