1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Internal Medicine
  6. NPI Profile

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

Active since January 21, 2007PECOS Enrolled
960 JOHNSON FERRY RD NE, SUITE 410, ATLANTA, GA 30342(404) 256-3788(404) 847-9613 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Benson Potter Md NPPES

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

DR. JACK BENSON POTTER MD (NPI 1073666087) is an individual allergy & immunology provider in Atlanta, Georgia, licensed in Georgia (29755) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073666087
Entity TypeIndividualMale
Primary Taxonomy207RA0201X
Provider Legal NameDR. JACK BENSON POTTERCredential: MD
Location Address960 JOHNSON FERRY RD NE, SUITE 410Atlanta, GA 30342-1631
Mailing Address960 Johnson Ferry Rd Ne, Suite 410Atlanta, GA 30342-1631 · (404) 256-3788 · Fax (404) 847-9613
Phone(404) 256-3788
Fax(404) 847-9613
Sole ProprietorYes
Enumeration DateJanuary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073666087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License✔ Licensed in GA · 29755
Definition
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.
960 JOHNSON FERRY RD NE, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINC69367GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Benson Potter 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. LAURA W CUMMINGS MO
Obstetrics & Gynecology
960 JOHNSON FERRY RD NE, STE 400
ATLANTA, GA 30342
Fulton County (404) 257-0170
MR. ALAN I SEGAL M.S.
Audiologist
960 JOHNSON FERRY RD NE, STE 200
ATLANTA, GA 30342
Fulton County (404) 943-0900
MRS. SONZA CURTIS PA
Physician Assistant (Medical)
960 JOHNSON FERRY RD NE, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 943-0900
ADVANCED EAR NOSE AND THROAT ASSOCIATES PC
Otolaryngology
960 JOHNSON FERRY RD NE, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 943-0900
LEE BRIAN PADOVE M.D. LLC
Internal Medicine (Cardiovascular Disease)
960 JOHNSON FERRY RD NE, SUITE 336
ATLANTA, GA 30342
Fulton County (404) 252-7400
KATHRYN METTLER M.D.
Internal Medicine (Gastroenterology)
960 JOHNSON FERRY RD NE, SUITE 505
ATLANTA, GA 30342
Fulton County (404) 843-3104
ATLANTA INFECTIOUS DISEASE SPECIALISTS PC
Internal Medicine
960 JOHNSON FERRY RD NE, SUITE 500
ATLANTA, GA 30342
Fulton County (404) 851-0081
COMPREHENSIVE GASTROENTEROLOGY OF GEORGIA, LLC
Internal Medicine (Gastroenterology)
960 JOHNSON FERRY RD NE, SUITE 415
ATLANTA, GA 30342
Fulton County (404) 252-7910

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 Jack Potter's NPI number?

The NPI number for Jack Potter is 1073666087. It was assigned to this individual provider in the NPPES registry on January 21, 2007.

Where is Jack Potter located?

Jack Potter practices at 960 Johnson Ferry Rd NE Suite 410, Atlanta, GA 30342. The listed phone number is (404) 256-3788.

What is Jack Potter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is Jack Potter enrolled in Medicare?

Yes. Jack Potter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Potter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.