PAUL JOSEPH POTTANAT MD
NPI 1043894454
Student in an Organized Health Care Education/Training Program in Charleston, SC

Active since May 11, 2021PECOS Enrolled
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(843) 792-3072 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Joseph Pottanat Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL JOSEPH POTTANAT MD (NPI 1043894454) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043894454
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePAUL JOSEPH POTTANATCredential: MD
Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-2716
Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-2716 · (843) 792-3072
Sole ProprietorNo
Enumeration DateMay 11, 2021
NPPES CertifiedMay 11, 2021
NPI 1043894454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
169 ASHLEY AVE RM 202, Charleston, SC 29425

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Paul Joseph Pottanat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Pediatrics
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Radiology (Diagnostic Radiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Anesthesiology
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Internal Medicine
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Internal Medicine (Clinical Cardiac Electrophysiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Pottanat's NPI number?

The NPI number for Paul Pottanat is 1043894454. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Paul Pottanat located?

Paul Pottanat practices at 169 Ashley Ave Rm 202, Charleston, SC 29425. The listed phone number is (843) 792-3072.

What is Paul Pottanat's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Paul Pottanat enrolled in Medicare?

Yes. Paul Pottanat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Pottanat was last updated on May 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.