NPI 1063919793

Benjamin Potter, DPM

Practitioner Foot & Ankle Surgery Podiatrist Kingsport, TN

Practice location

Address: 430 W Ravine Rd, Kingsport, TN 37660-3868
Phone: (423) 245-3161
Fax: (423) 245-8916
Mailing address: 1021 W Oakland Ave STE 310, Johnson City, TN 37604-2192

Registered specialties (3)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 905 (TN)

Other Podiatrist providers in Tennessee →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 135.001005 (IL)

Foot Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 905 (TN)

Registry record

NPI: 1063919793
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2018
Record last updated: 20 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.