Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1144206301
Deepa Retnem PottiM.D.
Active
NPI Number1144206301
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1144206301
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-12-20
Last Updated2023-04-26
Mailing AddressPo Box 751803
Charlotte, NC 28275-1803
United States
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Primary Practice Address12208 N Nc Highway 150
Winston Salem, NC 27127-9730
United States
Phone: (336) 764-2324 | Fax: (336) 764-9541
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Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDKY64087182-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineNC2021-02035
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About NPI 1144206301

Deepa Retnem Potti M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1144206301. The primary specialty listed is Family Medicine. The provider is located in Winston Salem, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-12-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1144206301?

NPI 1144206301 belongs to Deepa Retnem Potti M.D., a Family Medicine in Winston Salem, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1144206301 active?

The current status of NPI 1144206301 in the NPPES registry is Active. The record was last updated on 2023-04-26.

What specialty is NPI 1144206301?

NPI 1144206301 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1144206301?

You can verify NPI 1144206301 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1144206301?

The primary practice address on file for NPI 1144206301 is 12208 N Nc Highway 150, Winston Salem, NC 27127-9730. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1144206301 issued?

NPI 1144206301 was first issued (enumerated) on 2005-12-20. The NPPES record was last updated on 2023-04-26.

Practice Location Map

Deepa Retnem Potti is located at 12208 N Nc Highway 150, Winston Salem, NC. Use the map below to find directions or verify the practice location.

📍 12208 N Nc Highway 150, Winston Salem, NC 27127-9730  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Deepa Retnem Potti. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1144206301. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine2021-02035NC
Data Verified from CMS NPPES Last synced: 2026-08-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162