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RANDOLPH GERALD POTTS PH.D.
NPI 1154434413
Psychologist - Clinical in Memphis, TN

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
81.46/100
CMS Quality Rating
1265 UNION AVE, 2 SHORB TOWER, MEMPHIS, TN 38104(901) 478-5330(901) 478-8358 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2025, Dec 14, 2021 (2 updates tracked since 2021).

About Randolph Gerald Potts Ph.d. NPPES

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

RANDOLPH GERALD POTTS PH.D. (NPI 1154434413) is an individual clinical provider in Memphis, Tennessee, licensed in Tennessee (2490) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1154434413
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameRANDOLPH GERALD POTTSCredential: PH.D.
Location Address1265 UNION AVE, 2 SHORB TOWERMemphis, TN 38104
Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655
Phone(901) 478-5330
Fax(901) 478-8358
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 17, 2006
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1154434413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TN · 2490
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1265 UNION AVE, Memphis, TN 38104
Open in Google Maps ↗

Secondary Practice Location 1

Location 11325 Eastmoreland Ave Ste 370Memphis, TN 38104-7542 · Phone (901) 516-8785 · Fax (901) 516-8358

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Randolph Gerald Potts Ph.d. 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 ID1557350972
PECOS Enrollment IDI20040511000531
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 38104 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
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.

81.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.58
Promoting Interoperability100
Improvement Activities40
Cost62.61

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.

MICHAEL FISHER CRNA
Nurse Anesthetist, Certified Registered
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 725-5846
DANNY J LANCASTER MD
Hospitalist
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 516-2362
MUNACHUKWUDI AFAMEFUNA OKOYE
Student in an Organized Health Care Education/Training Program
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (910) 516-8279
GEETH SANDEEP NADELLA M.D.
Internal Medicine
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 516-2362
HANNAH PETERSON PHARMD
Pharmacist
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 516-7000
METHODIST UNIVERSITY EMERGENCY PHYSICIANS PLLC
Emergency Medicine
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 516-7000
DR. JEFFREY A BLALACK MD
Anesthesiology
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (316) 685-6091
RADIOSURGICAL CENTER OF MEMPHIS, L.P.
Radiologic Technologist (Radiation Therapy)
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 726-6444

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 Randolph Potts's NPI number?

The NPI number for Randolph Potts is 1154434413. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Randolph Potts located?

Randolph Potts practices at 1265 Union Ave 2 Shorb Tower, Memphis, TN 38104. The listed phone number is (901) 478-5330.

What is Randolph Potts's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Randolph Potts enrolled in Medicare?

Yes. Randolph Potts 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.

What insurance does Randolph Potts accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Randolph Potts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randolph Potts was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.