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Active NPI 1578180535 Individual Practitioner Male Practitioner

Devon Potler-Jack

Anesthesiologist Assistant • Marietta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Devon Potler-Jack is a certified Anesthesiologist Assistant practicing in Marietta, GA. With approximately 6 years of clinical experience since completing medical education in 2020, Devon Potler-Jack delivers high-quality medical care to the local community at 677 CHURCH ST NE.

Devon Potler-Jack is affiliated with Wellstar Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for x-ray or radiation therapy, anesthesia for x-ray on artery of brain, heart, or chest, anesthesia for procedure on heart and large blood vessels. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

677 Church St Ne

Marietta, GA 300601101

Telephone 7707935000
Associated Practice Facility / Clinic
🏢 Kennestone Hospital, Inc Facility NPI 1578553343

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Marietta, GA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -9.7 yrs vs City Avg
City Avg: 15.7 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
99 Specialists

Practicing in Marietta, GA (1558 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Potler-Jack (6 Years) 6 Yrs
Marietta Specialty Average (15.7 Years) 15.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
01922 Anesthesia for x-ray or radiation therapy
20 20 $1335.75 $94.73
01926 Anesthesia for x-ray on artery of brain, heart, or chest
16 16 $2293.89 $167.98
00560 Anesthesia for procedure on heart and large blood vessels
11 11 $3251.88 $242.00

Medical Specialties & State Licenses

CMS Verified: 2020-06-25
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Hospital & Practice Group Affiliations

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Wellstar Medical Group Llc

677 Church St Ne, Marietta, GA 300601101

Phone: 4707938585

Wellstar Medical Group Llc

677 Church Nest, Marietta, GA 300601101

Wellstar Medical Group Llc

625 Church Nest, Marietta, GA 300601101

Phone: 7704222004

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jillian Blalock , DO

Emergency Medicine

NPI 1003377466

Doctor of Osteopathic Medicine (D.O.)

Dr. Jamin Graham , MD

Student in an Organized Health Care Education/Training Program

NPI 1003378092

Doctor of Medicine (M.D.)

Julia Kendrick

Registered Nurse

NPI 1003738261
Dr. Haley Lawhorn , MD

Student in an Organized Health Care Education/Training Program

NPI 1003758939

Doctor of Medicine (M.D.)

Britney Beckett

Student in an Organized Health Care Education/Training Program

NPI 1013499185
Rushay Amarath-Madav

Student in an Organized Health Care Education/Training Program

NPI 1013611334

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2020

Registered at 677 CHURCH ST NE, MARIETTA, GA 300601101 (Tel: 7707935000)

📍
Updated Business Mailing Address June 25, 2020

Registered at 982 VIRGINIA AVE NE APT 2, ATLANTA, GA 303063608 (Tel: 6789946719)

👤
Provider Name / Credentials Updated June 25, 2020

Recorded as DEVON POTLER-JACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2020

Anesthesiologist Assistant

🟢
Initial NPI Registration & Enumeration June 25, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578180535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2020
Last Update: June 25, 2020
Sole Proprietor: No

Mailing Address

982 Virginia Ave Ne Apt 2

Atlanta, GA 303063608

Phone: 6789946719

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.