Kelley Smith Potts, M.D.
Radiology, Diagnostic Radiology in Memphis, TN. Individual provider (NPI-1).
NPI number1851566475
StatusActive
Last updated in NPPESAug 2, 2017
Details
- NPI
- 1851566475
- Entity type
- Individual (NPI-1)
- Name
- Kelley Smith Potts
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2008
- Last updated
- Aug 2, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 74759 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
Ut College Of Medicine 920 Madison AveSuite C50
Memphis, TN 38163-0001
Phone 901-448-5364
Mailing address
200 Charter LnApt. 409
Macon, GA 31210-4534
Phone 478-319-7834
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