MEDICARE: MRS. ANGELA SCHROEDER POTTER M.ED., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP003038	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144213505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA SCHROEDER POTTER M.ED., CCC-SLP

Provider Business Mailing Address
First Line	:	432 WHIPPOORWILL RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-3016
Country	:	US
Telephone Number	:	229-854-1978
Fax Number	:	888-515-6198

Provider Business Practice Location Address
First Line	:	432 WHIPPOORWILL RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-3016
Country	:	US
Telephone Number	:	229-888-3894
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	04/17/2026

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