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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN POTTER, DPM

Active

BENJAMIN POTTER, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in KINGSPORT, Tennessee. NPI 1063919793 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · KINGSPORT, TN

Registration Details

NPI Number
1063919793
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2018 (8.3415657634374 yrs)
Last Updated
Feb 20, 2026
Licenses
905 (TN)
135.001005 (IL)
905 (TN)

Practice Information

Address
430 W RAVINE RD
KINGSPORT, TN, 376603868
Browse TN providers · Browse ZIP 37660
Phone
4232453161
Fax
4232458916
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X
Additional Specialty
Foot Surgery Podiatrist

Other Foot & Ankle Surgery Podiatrist Providers in KINGSPORT, TN

Name Credential NPI
ANN WOLFORD DPM 1093085367
CHAD LAWRENCE DPM 1740617067
DR. MICHAEL WILLIS D.P.M. 1780032706
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.