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Devon Potler-Jack

Anesthesiologist Assistant • Marietta, GA

Active NPI 1578180535 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

677 Church St Ne
Marietta, GA 300601101

Call 7707935000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

677 Church St Ne

Marietta, GA 300601101

Telephone 7707935000
Organization at the Same NPPES Address or Phone
Kennestone Hospital, Inc Facility NPI 1578553343

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Wellstar Medical Group Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Medicare patients

112 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $7,244 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $5,699 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Open Payments general payments, program year 2025

All general payments: $72.44 across 3 records.

By nature of payment

  • Food and Beverage: $72.44 across 3 records.

Reporting-company totals

  • Becton, Dickinson and Company: $41.71 across 1 record.
  • Fisher & Paykel Healthcare Inc: $16.22 across 1 record.
  • Medtronic, Inc.: $14.51 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Devon Potler-Jack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Marietta and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 65% of clinicians listed under Anesthesiologist Assistant in Marietta, GA (2024, 52 clinicians with data). Median for this group: 32. Middle half: 15 to 59.

More Medicare Part B services than 65% of clinicians listed under Anesthesiologist Assistant in Georgia (2024, 671 clinicians with data). Median for this group: 31. Middle half: 16 to 55.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under Anesthesiologist Assistant in Marietta, GA (2024, 52 clinicians with data). Median for this group: $3,740. Middle half: $1,689 to $6,317.

A higher Medicare-allowed amount than 80% of clinicians listed under Anesthesiologist Assistant in Georgia (2024, 671 clinicians with data). Median for this group: $3,003. Middle half: $1,412 to $6,017.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under Anesthesiologist Assistant in Marietta, GA (2024, 52 clinicians with data). Median for this group: $3,013. Middle half: $1,364 to $5,073.

A higher Medicare payment amount than 80% of clinicians listed under Anesthesiologist Assistant in Georgia (2024, 671 clinicians with data). Median for this group: $2,355. Middle half: $1,131 to $4,800.

98 active clinicians are listed under Anesthesiologist Assistant with a practice address in Marietta, GA (1,541 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Marietta

0% of these 98 clinicians have the CMS telehealth indicator.

76.5% of these 98 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $72.44.

Manufacturer Payment Nature Product Type Amount ($)
Becton, Dickinson and Company
Food and Beverage
In-kind items and services
HemoSphere General $41.71
Fisher & Paykel Healthcare Inc
Food and Beverage
In-kind items and services
FISHER & PAYKEL HEALTHCARE General $16.22
Medtronic, Inc.
Food and Beverage
In-kind items and services
BIS General $14.51

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2021–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ANESTHESIOLOGY ASSISTANT

Medicare Enrollment ID

I20201102001628

Enrollment State Jurisdiction

GA

PECOS Control ID

1355751413

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1972757953

Doctor of Medicine (M.D.)

Yusuf Ali

Anesthesiology

NPI 1811563976
Dr. Emily Baas , MD

Student in an Organized Health Care Education/Training Program

NPI 1144923020

Doctor of Medicine (M.D.)

Dr. Rebecca Beaudry , DO

Emergency Medicine

NPI 1851032767

Doctor of Osteopathic Medicine (D.O.)

Dr. Jillian Blalock , DO

Emergency Medicine

NPI 1003377466

Doctor of Osteopathic Medicine (D.O.)

Dr. David Carpenter , MD, MHSC

Radiology - Radiation Oncology

NPI 1558865816

Doctor of Medicine (M.D.), MHSC

Career & Practice History

NPI enumerated June 25, 2020.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from July 2020 to August 2026.

No reviews have been published yet. Leave a review.

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

Other Anesthesiologist Assistants in Marietta

All Anesthesiologist Assistants in Marietta

Mailing Address

982 Virginia Ave Ne Apt 2

Atlanta, GA 303063608

Phone: 6789946719

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.