POTTS PEDIATRICS AND ADOLESCENT MEDICINE AND PREVENATATIVE CARE LLC
NPI 1740501246
Clinic/Center - Primary Care in Fayetteville, GA
About Potts Pediatrics And Adolescent Medicine And Prevenatative Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POTTS PEDIATRICS AND ADOLESCENT MEDICINE AND PREVENATATIVE CARE LLC (NPI 1740501246) is a healthcare organization registered as a primary care in Fayetteville, Georgia and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Deborah Staats, Office Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D0257209
Potts Pediatrics · Fayetteville, GAOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Potts Pediatrics And Adolescent Medicine And Prevenatative Care LLC's NPI number?
The NPI number for Potts Pediatrics And Adolescent Medicine And Prevenatative Care LLC is 1740501246. It was assigned to this organization in the NPPES registry on June 18, 2010.
Where is Potts Pediatrics And Adolescent Medicine And Prevenatative Care LLC located?
Potts Pediatrics And Adolescent Medicine And Prevenatative Care LLC is located at 365 N Jeff Davis Dr, Fayetteville, GA 30214. The listed phone number is (770) 461-5003.
What is Potts Pediatrics And Adolescent Medicine And Prevenatative Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Potts Pediatrics And Adolescent Medicine And Prevenatative Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D0257209) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Potts Pediatrics And Adolescent Medicine And Prevenatative Care LLC was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Potts Pediatrics And Adolescent Medicine And Prevenatative Care Llc · NPI 1740501246
Primary Care organization in Fayetteville, Georgia. Organization record, active in the CMS NPPES registry since June 18, 2010.
## Identity
- **NPI:** 1740501246 (Entity type: Organization)
- **Enumerated:** June 18, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Deborah Staats, OFFICE ADMINISTRATOR
## Practice location
- **Address:** 365 N JEFF DAVIS DR, Fayetteville, GA 30214-1627
- **Phone:** (770) 461-5003
## Record status
- **NPPES last updated:** June 18, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740501246) · Data from the CMS NPPES public registry.