DR. JAMES PUCKETT (NPI# 1477698926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477698926 |
| Entity Type | Individual |
| Full Name | DR. JAMES PUCKETT |
| Credential | M.D. |
| Practice Address |
6111 Highway 49 Suite 119 Hattiesburg MS 39401 |
| Mailing Address |
Po Box 16863 Hattiesburg MS 39404-6863 |
| Practice Telephone | 6012966001 |
| Practice Fax Number | 6012681222 |
| Mailing Telephone | 6012683863 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
06457 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00123686 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487870473 | James Michael Puckett | Dentist | 800 W Main St Ste B, Jamestown, NC 27282-8830 | 2007-04-18 |
| 1497795942 | James B. Puckett | Internal Medicine | One Doctors Drive, Asheville, NC 28801 | 2006-06-06 |
| 1093200107 | James Addison Puckett | Registered Nurse | 5430 Fredericksburg Rd, San Antonio, TX 78229 | 2018-06-30 |
| 1376067942 | James Edward Puckett Jr. | Counselor | 600 3rd St N, La Crosse, WI 54601-6234 | 2017-07-26 |
| 1295024800 | James Lee Puckett | Emergency Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2011-04-04 |
| 1790824829 | James L. Puckett | Nuclear Medicine | 1 Hospital Dr, Clarion, PA 16214 | 2007-02-05 |
| Street Address |
6111 HIGHWAY 49 SUITE 119 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710341771 | Sisters In Birth, Inc. | Preventive Medicine | 3000 Old Canton Rd Ste 280, Jackson, MS 39216-4255 | 2016-04-06 |
| 1013288919 | Kevin Mills Mcneill | Preventive Medicine | 129 Calumet Dr, Madison, MS 39110-9298 | 2012-01-24 |
| 1841597861 | Bonda Ann Abide | Preventive Medicine | 1120 Avon Pl, Greenville, MS 38701-8305 | 2011-02-28 |
| 1851620314 | Frank J Morgan Jr. | Preventive Medicine | 1200 Meadowbrook Rd, #25, Jackson, MS 39206-6109 | 2009-12-12 |
| 1033381769 | Tarence Wade M D P C | Preventive Medicine | 217 S Washington Ave, Greenville, MS 38701-4234 | 2008-04-02 |
| 1467596031 | Anne A. Roberts | Preventive Medicine | 640 Georgetown St, Hazlehurst, MS 39083-2501 | 2007-02-16 |
| 1467595843 | Dexter Quon | Preventive Medicine | 101 Veteran's Drive, Oxford, MS 38655 | 2007-02-15 |
| 1326187196 | Mahmoud A Shaalan | Preventive Medicine | 105 County Road 305, Corinth, MS 38834-8847 | 2007-02-06 |
| 1851451553 | Robert Eugene Trotter | Preventive Medicine | 532 S Church St Health District 2, Tupelo, MS 38802 | 2006-12-11 |
| 1447330030 | Robert Gordon Travnicek | Preventive Medicine | 15151 Community Rd, Gulfport, MS 39503-3525 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.