DR. TERRELL JAMES POTTER DO
NPI 1295479822
Student in an Organized Health Care Education/Training Program in Tupelo, MS

Active since April 20, 2022PECOS Enrolled
845 S MADISON ST, TUPELO, MS 38801(662) 377-1100 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Terrell James Potter Do NPPES

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

DR. TERRELL JAMES POTTER DO (NPI 1295479822) is an individual student in an organized health care education/training program in Tupelo, Mississippi and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295479822
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. TERRELL JAMES POTTERCredential: DO
Location Address845 S MADISON STTupelo, MS 38801-4905
Mailing Address124 Elmwood DrDothan, AL 36303-5536 · (725) 444-0513
Sole ProprietorNo
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
NPI 1295479822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
845 S MADISON ST, Tupelo, MS 38801

Accepted Insurance

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. Terrell James Potter Do 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.

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.

Internal Medicine
845 S MADISON ST
TUPELO, MS 38801
Social Worker (Clinical)
845 S MADISON ST
TUPELO, MS 38801
Internal Medicine (Rheumatology)
845 S MADISON ST, SUITE B
TUPELO, MS 38801
Family Medicine (Geriatric Medicine)
845 S MADISON ST
TUPELO, MS 38801
Student in an Organized Health Care Education/Training Program
845 S MADISON ST
TUPELO, MS 38801
Nurse Practitioner
845 S MADISON ST
TUPELO, MS 38801
Family Medicine
845 S MADISON ST
TUPELO, MS 38801
Internal Medicine
845 S MADISON ST
TUPELO, MS 38801

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 Terrell Potter's NPI number?

The NPI number for Terrell Potter is 1295479822. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Terrell Potter located?

Terrell Potter practices at 845 S Madison St, Tupelo, MS 38801. The listed phone number is (662) 377-1100.

What is Terrell Potter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Terrell Potter enrolled in Medicare?

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

What insurance does Terrell Potter accept?

Health plans from UnitedHealthcare list Terrell 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 Terrell Potter was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.