Individual provider · Type 1 NPI

Benjamin Potter, DPM

Foot & Ankle Surgery Podiatrist · Kingsport, TN

NPI number 1063919793 Active

Practice location

430 W Ravine Rd
Kingsport, TN 37660-3868

Fax (423) 245-8916

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 130 W Ravine Rd, Kingsport, TN 37660-3837 · (423) 224-4000

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X905 (TN)
Foot & Ankle Surgery Podiatrist 213ES0103X135.001005 (IL)
Foot Surgery Podiatrist 213ES0131X905 (TN)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1063919793

Benjamin Potter, DPM's National Provider Identifier is 1063919793, issued on Apr 9, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Kingsport, TN. The record was last updated on Feb 20, 2026.