Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Potter, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1063919793

Benjamin Potter, DPM is a Podiatry in Kingsport, Tennessee. Qualified in 2018, 8 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Tennessee.

Years since qualifying
8
Licensed in
IL, TN
In the registry since
2018
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

430 W Ravine Rd
Kingsport, TN 37660-3868
Phone: (423) 245-3161
Fax: (423) 245-8916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 905 (TN)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 135.001005 (IL)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence 905 (TN)

Record details

NPI number1063919793
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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