NATHAN LEE POTTER (PA) – Physician Assistant, NPI 1073904181

NATHAN LEE POTTER (PA) is a healthcare provider. based in Tucker, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 007517 (GA). The NPI Number for NATHAN LEE POTTER (PA) is 1073904181

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN LEE POTTER (PA)
NPI
1073904181
Phone
(317) 501-9558
Address
4017 NORTHLAKE CREEK DR
Enumeration Date
11 February 2015
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4046055000
Graduation Year
2014 (12 years ago)
PAC ID
7810215837
Group Practice PAC ID
4183986490
Professional Enrollment ID
I20150422002053
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for NATHAN LEE POTTER (PA)

  • 4017 NORTHLAKE CREEK DR

    TUCKER, GA 300843423

    Phone: (317) 501-9558

    Type: Location

  • 798 LARRY LN

    DECATUR, GA 300334817

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $92.

Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABIOMED ($39).

Total Amount

$92

General + Research + Ownership

Payments

3

Total payment records

General Amount

$92

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150422002053IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes8854$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 30084)

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Provider's Procedures

NATHAN LEE POTTER (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin2320

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183986490View full group profile
NameSpecialtyState
-MN
Nurse PractitionerGA
-UT
G A S T R O E N T E R O L O G YGA
Physician AssistantGA
-GA
Physician AssistantGA
-GA
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What is the standard ID for NATHAN LEE POTTER (PA) in the U.S.?
In the U.S., NATHAN LEE POTTER (PA) is identified by NPI 1073904181.
Quick check: is NATHAN LEE POTTER (PA) active?
Public NPPES data shows NATHAN LEE POTTER (PA) with an active NPI status right now.
What services align with NATHAN LEE POTTER (PA)'s listing?
NATHAN LEE POTTER (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to NATHAN LEE POTTER (PA)?
NATHAN LEE POTTER (PA) shows a connection to Tucker, Georgia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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