DR. JACK BENSON POTTER MD
NPI 1073666087
Internal Medicine - Allergy & Immunology in Atlanta, GA

NPI Status: Active since January 21, 2007

Contact Information

960 JOHNSON FERRY RD NE
SUITE 410
ATLANTA, GA
ZIP 30342
Phone: (404) 256-3788
Fax: (404) 847-9613

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Internal Medicine
Allergy & Immunology
PECOS Enrolled

About JACK POTTER

This page provides the complete NPI Profile along with additional information for Jack Potter, an internist established in Atlanta, Georgia with a medical specialization in Internal Medicine, focusing in allergy & immunology . The healthcare provider is registered in the NPI registry with number 1073666087 assigned on January 2007. The practitioner's primary taxonomy code is 207RA0201X with license number 29755 (GA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1073666087
Provider Name: DR. JACK BENSON POTTER MD
Gender: Male
Entity Type: Individual
Location Address: 960 JOHNSON FERRY RD NE SUITE 410 ATLANTA, GA 30342
Location Phone: (404) 256-3788
Location Fax: (404) 847-9613
Mailing Address: 960 JOHNSON FERRY RD NE SUITE 410 ATLANTA, GA 30342
Mailing Phone: (404) 256-3788
Mailing Fax: (404) 847-9613
Is Sole Proprietor?: Yes
Enumeration Date: 01-21-2007
Last Update Date: 07-08-2007
Code Navigator

An internist like Jack Potter is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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: Internal Medicine Allergy & Immunology
Taxonomy Code: 207RA0201X
Type: Allopathic & Osteopathic Physicians
License No.: 29755
License State: GA
Taxonomy Description: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
C69367	MEDICARE UPIN (02)	GA

Medicare Participation & PECOS Enrollment Status

Jack 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
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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30342 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $130.64
Minimum New Patient Price $56.84
Maximum New Patient Price $172.43

Average New Patient Copayment $32.66
Minimum New Patient Copayment $14.21
Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $70.85
Minimum Established Patient Price $18.22
Maximum Established Patient Price $140.4

Average Established Patient Copayment $17.71
Minimum Established Patient Copayment $4.55
Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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	0	7	3	6	6	6	0	8	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	14	3	12	6	12	0	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 2 + 6 + 1 + 2 + 0 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7									7

The NPI number 1073666087 is valid because the calculated check digit 7 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.

MR. ALAN I SEGAL M.S.

Audiologist

960 JOHNSON FERRY RD NE
STE 200
ATLANTA, GA
ZIP 30342

About JACK POTTER

Location Map

Specialty - Primary Taxonomy

Internal Medicine Allergy & Immunology

Insurance Plans Accepted

Medicare

Medicaid

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

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

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for DR. JACK BENSON POTTER MD

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Jack Potter's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Jack Potter accept?