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SHELBY LANE POTTER RDN, CDCES
NPI 1174165765
Dietitian, Registered in Charlotte, NC

Active since October 15, 2019Accepts Medicare Assignment
4525 CAMERON VALLEY PKWY STE 4100, CHARLOTTE, NC 28211(704) 302-9462(704) 302-9402 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2026, Aug 2, 2024, Oct 15, 2019 (3 updates tracked since 2019).

About Shelby Lane Potter Rdn, Cdces NPPES

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

SHELBY LANE POTTER RDN, CDCES (NPI 1174165765) is an individual dietitian, registered in Charlotte, North Carolina, licensed in (86065963) and active in the NPI registry since October 2019. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1174165765
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHELBY LANE POTTERCredential: RDN, CDCES
Location Address4525 CAMERON VALLEY PKWY STE 4100Charlotte, NC 28211-4378
Mailing Address4927 Hadrian WayCharlotte, NC 28211-3075 · (919) 618-9037
Phone(704) 302-9462
Fax(704) 302-9402
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 15, 2019
Last NPPES UpdateApril 22, 20263 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1174165765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed · 86065963✔ Licensed in NC · L004982
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4525 CAMERON VALLEY PKWY STE 4100, Charlotte, NC 28211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelby Lane Potter Rdn, Cdces 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 ID8123459229
PECOS Enrollment IDI20240917000533, I20260430003733

Medicare Billing Reassignment

Medicare enrollment records show Shelby Potter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Physicians Network Inc
Same address
Internal Medicine
4525 CAMERON VALLEY PKWY, SUITE 2500
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • Also billed through NPI 1730279787 (South Carolina)
  • 2,057 clinicians in this Medicare group
NPI 1699048199 (704) 512-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 3

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

SHASHANK SURESH MD
Internal Medicine (Rheumatology)
4525 CAMERON VALLEY PKWY STE 4100
CHARLOTTE, NC 28211
Mecklenburg County (704) 468-8873
CAROLINE BLAIR MICHAELSON RDN, LDN
Dietitian, Registered
4525 CAMERON VALLEY PKWY STE 4100
CHARLOTTE, NC 28211
Mecklenburg County (815) 353-6487
MRS. BRIA SHAE MULHOLLAND RN
Registered Nurse (General Practice)
4525 CAMERON VALLEY PKWY STE 4100
CHARLOTTE, NC 28211
Mecklenburg County (704) 302-9462

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 Shelby Potter's NPI number?

The NPI number for Shelby Potter is 1174165765. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Where is Shelby Potter located?

Shelby Potter practices at 4525 Cameron Valley Pkwy Ste 4100, Charlotte, NC 28211. The listed phone number is (704) 302-9462.

What is Shelby Potter's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Shelby Potter enrolled in Medicare?

Yes. Shelby 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.

Which organization bills Medicare for Shelby Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Potter reassigns Medicare benefits to Carolinas Physicians Network Inc (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelby Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Potter accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Shelby Potter 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 Shelby Potter was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.