LESLIE POTTER (NPI# 1154605897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154605897 |
| Entity Type | Individual |
| Full Name | LESLIE POTTER |
| Credential | D.O. |
| Practice Address |
10130 Perimeter Pkwy Ste 200 Charlotte NC 28216 |
| Mailing Address |
220 Faison Dr Columbia SC 29203-3210 |
| Practice Telephone | 8888497379 |
| Practice Fax Number | 8558577333 |
| Mailing Telephone | 8039357140 |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2016-01194 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
03479 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649298514 | Leslie Ann Potter | Counselor | 10451 Twin Rivers Road, Columbia, MD 21044 | 2006-07-18 |
| 1568788255 | Leslie Potter | Counselor | 60 Perserverance Way, Hyannis, MA 02601-1843 | 2010-04-20 |
| Street Address |
10130 PERIMETER PKWY STE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194718619 | John Michael Shimko | Podiatrist | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2005-08-30 |
| 1932686128 | Misty Moore Reagan | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2018-07-20 |
| 1093205049 | Khamphou Manivanh Mosley | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2018-05-15 |
| 1316453194 | Kenya Lakisha Cruz | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2017-12-15 |
| 1164947305 | Toshia Chipman | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2017-08-09 |
| 1447774823 | Lakiesha Johnson Squirewell | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2017-07-27 |
| 1205367588 | Eva Krug | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2017-03-27 |
| 1639626047 | Tiaira Robinson | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2016-09-01 |
| 1396115424 | Michelle Dunlap Deaton | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2015-10-01 |
| 1629447503 | Cheria Morgan | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2015-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837331 | Transit Consortium of South Carolina, LLC | Non-emergency Medical Transport (VAN) | 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 | 2020-03-25 |
| 1811538796 | Strengthening Families Within Communities LLC | Community/Behavioral Health | 4135 Bryan Furr Drive, Charlotte, NC 28216 | 2019-10-02 |
| 1841705159 | Karen Sue Rhea | Registered Nurse | 4004 Nicole Eileen Lane, Charlotte, ND 28216 | 2017-12-08 |
| 1992225890 | Be Free Counseling, Pllc | Social Worker | 7800 Bridle Court, Charlotte, NC 28216 | 2017-06-21 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1346600699 | Elizabeth Ayodele Agiri | Registered Nurse | 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 | 2016-02-29 |
| 1922479179 | Prashant Patel | Pharmacist | 9820 Callibridge Court, Charlotte, NC 28216 | 2015-10-14 |
| 1205226685 | Sarah Baker | Social Worker | 10506 Grobie Way Apt 104, Charlotte, NC 28216 | 2015-01-23 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| Find all providers in zip 28216 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464900 | St Lazarus Behavioral Health PC | Psychiatry & Neurology | 8401 Medical Plaza Dr Ste 355, Charlotte, NC 28262-9718 | 2018-01-05 |
| 1942666334 | Daymark Recovery Services Inc | Psychiatry & Neurology | 127 N Tryon St Unit 516, Charlotte, NC 28202-2194 | 2016-01-14 |
| 1275827990 | Erica Elise Herman | Psychiatry & Neurology | 6060 Piedmont Row Dr S Ste 500, Charlotte, NC 28287-3803 | 2011-05-31 |
| 1710162078 | Patterson Healthcare Pa | Psychiatry & Neurology | 6115 Park South Drive, Suite 130, Charlotte, NC 28210-3269 | 2008-01-07 |
| 1871786830 | Wallace Harden Smith II | Psychiatry & Neurology | 3120 Cambridge Rd, Charlotte, NC 28209-1304 | 2007-08-23 |
| 1639386014 | Odette Cianchini Valder | Psychiatry & Neurology | 413 S Sharon Amity Rd, Suite B, Charlotte, NC 28211-2865 | 2007-05-16 |
| 1265659965 | Malti Praful Mehta | Psychiatry & Neurology | 459 N Wendover Rd, Malti and P Mehta Pa, Charlotte, NC 28211 | 2007-04-20 |
| 1497877468 | Mary Mcmahan Christenbury | Psychiatry & Neurology | 2231 Thornridge Rd, Charlotte, NC 28226-6446 | 2007-04-03 |
| 1447374459 | Susan K Gillette | Psychiatry & Neurology | 3604 Hampton Manor Dr, Charlotte, NC 28226-7006 | 2007-03-16 |
| 1851445209 | Preetinder Paul Singh Brar | Psychiatry & Neurology | 8029 Corporate Center Dr Ste 200, Charlotte, NC 28226-4548 | 2007-01-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.