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

Kendra Rae Potter, PA-C

Individual provider Physician Assistant · NPI 1255997086

Kendra Rae Potter, PA-C is a Physician Assistant in Kingsport, Tennessee. Qualified in 2018, 8 years ago. Practices with Norton Community Physician Services LLC, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
8
Licensed in
TN, VA
In the registry since
2019
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4221 Fort Henry Dr Ste 1
Kingsport, TN 37663-2227
Phone: (423) 726-2672
Fax: (423) 406-1399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1490 Park Ave Nw Ste 4a, Norton, VA 24273-1631 — (276) 439-1385

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4173 (TN)
Physician Assistant Taxonomy 363A00000X (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0110008946 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 4173 (TN)

Record details

NPI number1255997086
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 16, 2019
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Norton Community Physician Services Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Kingsport