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

Deborah Krist Potticary

Individual provider Family Nurse Practitioner · NPI 1013455039

Deborah Krist Potticary is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2016, 10 years ago. Practices with Novant Health Thomasville Medical Center LLC, a 102-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and North Carolina.

Years since qualifying
10
Licensed in
CT, NC
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone: (336) 718-7041
Fax: (336) 718-9622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 Seymour St, Hartford, CT 06106-3315 — (860) 977-8433

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5011655 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 6946 (CT)

Record details

NPI number1013455039
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2017
Last updated in NPPESOctober 26, 2020
Certification dateSeptember 6, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Novant Health Thomasville Medical Center Llc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Winston Salem