DR. JAMES PUCKETT M.D. NPI 1477698926

NPI Information

NPI: 1477698926
Provider Name: DR. JAMES PUCKETT, M.D.
Classification: Preventive Medicine - 2083P0901X
Entity Type: Individual

Specialization: Public Health & General Preventive Medicine

Address:
6111 HIGHWAY 49
SUITE 119
HATTIESBURG, MS
ZIP 39401
Phone: (601) 296-6001
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DR. James Puckett, M.D. is a public health and general preventive medicine preventive medicine in Hattiesburg, MS. The provider is 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. DR. James Puckett, M.D. NPI is 1477698926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6111 HIGHWAY 49
SUITE 119
HATTIESBURG, MS
ZIP 39401
Phone: (601) 296-6001
Fax: (601) 268-1222

The enumeration date for this NPI number is 2/21/2007 and was last updated on 1/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	06457	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E05453	MEDICARE UPIN	MISSISSIPPI
2	00123686	MEDICAID	MISSISSIPPI
3	010000183	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	JAMES PUCKETT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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