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J T POTTER JR MD PC
NPI 1841216496
Pediatrics - Adolescent Medicine in Norton, VA

Active since July 15, 2006CLIA 49D2179568 · Waiver
611 TRENT ST NE, SUITE A, NORTON, VA 24273(276) 679-0800 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About J T Potter Jr Md Pc NPPES

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

J T POTTER JR MD PC (NPI 1841216496) is a healthcare organization registered as an adolescent medicine in Norton, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists James Thomas Potter, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841216496
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameJ T POTTER JR MD PC
Location Address611 TRENT ST NE, SUITE ANorton, VA 24273
Mailing Address159 Ridgefield Rd SwWise, VA 24293-5607 · (276) 679-0800 · Fax (276) 679-0097
Phone(276) 679-0800
Organization SubpartNo
Authorized OfficialJames Thomas PotterCeo · (276) 679-0800
Enumeration DateJuly 15, 2006
Last NPPES UpdateDecember 23, 2019
✔ NPI 1841216496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in VA · 0101232468
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
611 TRENT ST NE, Norton, VA 24273
Open in Google Maps ↗

Other Identifiers 1

Medicaid010002761VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 49D2179568

J T Potter, Jr MD, PC · Norton, VA
Active · expires Feb 25, 2028
CLIA Number49D2179568
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorJames T. Potter Jr
Laboratory Phone(276) 679-5437
Laboratory LocationJ T Potter, Jr MD, PC611 Trent Street, NE, Norton, VA 24273
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

SUSAN GIBSON MYERS LCSW
Social Worker (Clinical)
611 TRENT ST NE
NORTON, VA 24273
Norton City (762) 756-7892
UZMA EHTESHAM MD PLLC
Psychiatry & Neurology (Psychiatry)
611 TRENT ST NE
NORTON, VA 24273
Norton City (276) 679-4200
WELLMONT PHYSICIAN SERVICES INC
Internal Medicine (Hematology & Oncology)
611 TRENT ST NE
NORTON, VA 24273
Norton City (276) 679-5874
BRITTANY B HUBBARD FNP
Nurse Practitioner (Family)
611 TRENT ST NE
NORTON, VA 24273
Norton City (276) 679-5437
SHAHAB M EHTESHAM MD
Internal Medicine
611 TRENT ST NE
NORTON, VA 24273
Norton City (276) 679-4200
SHAHAB M. EHTESHAM MD PLLC
Internal Medicine
611 TRENT ST NE
NORTON, VA 24273
Norton City (276) 679-4200
SUSAN MYERS, LCSW INC
Social Worker (Clinical)
611 TRENT ST NE
NORTON, VA 24273
Norton City (276) 275-6789
UZMA EHTESHAM MD
Psychiatry & Neurology (Psychiatry)
611 TRENT ST NE
NORTON, VA 24273
Norton City (276) 679-4200

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 J T Potter Jr MD PC's NPI number?

The NPI number for J T Potter Jr MD PC is 1841216496. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is J T Potter Jr MD PC located?

J T Potter Jr MD PC is located at 611 Trent St NE Suite A, Norton, VA 24273. The listed phone number is (276) 679-0800.

What is J T Potter Jr MD PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does J T Potter Jr MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2179568) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for J T Potter Jr MD PC was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.