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

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  • 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
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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)
1208100000XAllopathic & 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.
1376075192
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231460710118
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 = 22

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 & Rehabilitation2020 PEACHTREE RD NW
ATLANTA, GA 30309
(404) 352-2020
1891726675 DAVID F APPLE MD
Individual
Orthopaedic Surgery2020 PEACHTREE RD NW
ATLANTA, GA 30309
(404) 352-2020
1780616425 URSZULA I KLICH PHD
Individual
Neurological Surgery2020 PEACHTREE RD NW
ATLANTA, GA 30309
(866) 327-2166
1144252610 RHONDA TAUBIN MD
Individual
Physical Medicine & Rehabilitation2020 PEACHTREE RD NW
ATLANTA, GA 30309
(404) 352-2020
1871526806 PAMELA PENN LPC
Individual
Counselor2020 PEACHTREE RD NW
ATLANTA, GA 30309
(866) 327-2166
1386678316 NANCY ZAMORA-MILLER LPC
Individual
Counselor2020 PEACHTREE RD NW
ATLANTA, GA 30309
(866) 327-2166
1316971922 TRACY WALKER NPC
Individual
Nurse Practitioner2020 PEACHTREE RD NW
ATLANTA, GA 30309
(866) 327-2166
1821023359 ERIK T SHAW D.O.
Individual
Physical Medicine & Rehabilitation2020 PEACHTREE RD NW
ATLANTA, GA 30309
(404) 352-2020
1669497749 LAURA SCHMEIER CNP
Individual
Nurse Practitioner2020 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 & Rehabilitation2020 PEACHTREE RD NW
ATLANTA, GA 30309
(404) 352-2020
1497770556 GERALD S BILSKY MD
Individual
Physical Medicine & Rehabilitation2020 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
Counselor2020 PEACHTREE RD NW
ATLANTA, GA 30309
(866) 327-2166
1396928644MRS. 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 & Rehabilitation2020 PEACHTREE RD NW
ATLANTA, GA 30309
(404) 603-4279
1306013578 COLBY BIXBY DOEPEL NP-C
Individual
Nurse Practitioner2020 PEACHTREE RD NW
ATLANTA, GA 30309
(404) 352-2020
1730410374 CHRISTOPHER NESBITT MPT
Individual
Physical Therapist2020 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.