Healthcare Provider Details

I. General information

NPI: 1295994481
Provider Name (Legal Business Name): JEFFREY A. POTTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2008
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12255 PROSPERITY DR # 200
SILVER SPRING MD
20904-1741
US

IV. Provider business mailing address

7361 CALHOUN PL STE 600
ROCKVILLE MD
20855-2788
US

V. Phone/Fax

Practice location:
  • Phone: 301-942-7600
  • Fax: 301-774-1799
Mailing address:
  • Phone: 301-942-7600
  • Fax: 301-942-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD0080579
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: