DESTINY DANIELLE POTIER NP
NPI 1417816612
Nurse Practitioner - Family in Mcdonough, GA
About Destiny Danielle Potier Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESTINY DANIELLE POTIER NP (NPI 1417816612) is an individual family provider in Mcdonough, Georgia, licensed in Georgia (APRN-NP712281) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Destiny Danielle Potier Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Destiny Potier reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mcdonough, GA 30253
- Reassigned Medicare billing, Georgia enrollment
- 25 clinicians in this Medicare group
Flowery Branch, GA 30542
- Reassigned Medicare billing, Georgia enrollment
- 24 clinicians in this Medicare group
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 30253 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCDONOUGH, GA 30253
MCDONOUGH, GA 30253
MCDONOUGH, GA 30253
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 Destiny Potier's NPI number?
The NPI number for Destiny Potier is 1417816612. It was assigned to this individual provider in the NPPES registry on January 21, 2026.
Where is Destiny Potier located?
Destiny Potier practices at 345 Huntington Place Ct, Mcdonough, GA 30253. The listed phone number is (678) 782-6920.
What is Destiny Potier's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Destiny Potier enrolled in Medicare?
Yes. Destiny Potier is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Destiny Potier's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Destiny Potier reassigns Medicare benefits to 2 organizations: Medlife Urgent Care LLC (Mcdonough, GA) and Medlife Healthcare LLC (Flowery Branch, GA). Each 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 Destiny Potier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Destiny Potier was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.
# Destiny Danielle Potier, NP · NPI 1417816612
Family physician in Mcdonough, Georgia. Individual provider, active in the CMS NPPES registry since January 21, 2026.
## Identity
- **NPI:** 1417816612 (Entity type: Individual)
- **Enumerated:** January 21, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP712281 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 345 HUNTINGTON PLACE CT, Mcdonough, GA 30253-8651
- **Phone:** (678) 782-6920
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medlife Urgent Care LLC (NPI 1083249114, Mcdonough, GA); Medlife Healthcare LLC (NPI 1558974709, Flowery Branch, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417816612) · Data from the CMS NPPES public registry.