NPI Details
Brett Daniel Puckett, PA-C, MMSC, ATC is a physician assistant in Lawrenceville, GA with 6 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Brett Daniel Puckett, PA-C, MMSC, ATC NPI is 1265830152. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2020
The provider's business location address is:
771 OLD NORCROSS RD STE 390
LAWRENCEVILLE, GA
ZIP 30046-324
Phone: (678) 957-0757
Fax: (678) 957-9597
The NPI 1265830152 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- X-ray of knee, 3 views (HCPCS:73562)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
The enumeration date for this NPI number is 12/9/2014 and was last updated on 11/15/2022.
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 | 2255A2300X | Specialist/Technologist | Athletic Trainer | 36002274A | INDIANA | No |
| 2 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 3 | 363A00000X | Physician Assistant | | 10254 | GEORGIA | Yes |
