NATHAN LEE POTTER PA
NPI 1073904181
Physician Assistant in Tucker, GA

Active since February 11, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4017 NORTHLAKE CREEK DR, TUCKER, GA 30084(317) 501-9558 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2024, Nov 6, 2023 (2 updates tracked since 2023).

About Nathan Lee Potter Pa NPPES

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

NATHAN LEE POTTER PA (NPI 1073904181) is an individual physician assistant in Tucker, Georgia, licensed in Georgia (7517) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Emory University School Of Medicine (2014).

NPPES Registry Identity

NPI1073904181
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNATHAN LEE POTTERCredential: PA
Location Address4017 NORTHLAKE CREEK DRTucker, GA 30084-3423
Mailing Address4017 Northlake Creek DrTucker, GA 30084-3423
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2014
Enumeration DateFebruary 11, 2015
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
NPI 1073904181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 7517
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedInternal MedicineTaxonomy 207R00000X · License 007517 (GA)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
4017 NORTHLAKE CREEK DR, Tucker, GA 30084

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nathan Lee Potter Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810215837
PECOS Enrollment IDI20150422002053
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
109 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
100 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Nathan Potter's NPI number?

The NPI number for Nathan Potter is 1073904181. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Where is Nathan Potter located?

Nathan Potter practices at 4017 Northlake Creek Dr, Tucker, GA 30084. The listed phone number is (317) 501-9558.

What is Nathan Potter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nathan Potter enrolled in Medicare?

Yes. Nathan Potter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nathan Potter affiliated with any hospitals?

According to CMS data, Nathan Potter is affiliated with Emory Decatur Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Nathan Potter was last updated on June 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.