IndividualActive
Chadley Potter, PA-C
NPI 1619332020 · Surgical Physician Assistant · Wynnewood, PA
Provider details
- NPI number
- 1619332020
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- MA059118 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 E Lancaster Ave # Msb275
Wynnewood, PA 19096-3450
Phone: (484) 572-0171
Street-level locationGet directions
Mailing address
100 E Lancaster Ave # Msb275
Wynnewood, PA 19096-3450
Registry dates
- Enumerated
- 2015-12-30
- Last updated
- 2020-03-26
- Certified
- 2020-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.