WENDY LYNN COTO-PUCKETT MD NPI 1316123557

NPI Information

NPI: 1316123557
Provider Name: WENDY LYNN COTO-PUCKETT, MD
Classification: Pediatrics - 2080N0001X
Specialization: Neonatal-Perinatal Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 535-3611

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NPI Details

Wendy Lynn Coto-puckett, MD is a neonatal-perinatal medicine pediatrics in Gainesville, GA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Wendy Lynn Coto-puckett, MD NPI is 1316123557. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501-715
Phone: (770) 535-3611
Fax: (770) 535-7092

The NPI 1316123557 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 enumeration date for this NPI number is 1/17/2008 and was last updated on 1/15/2013.

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	208000000X	Pediatrics		059908	GEORGIA	No
2	208000000X	Pediatrics		A108494	CALIFORNIA	No
3	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	059908	GEORGIA	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	712419	OTHER	GEORGIA	WELLCARE HEALTH PLANS
2	01674418	OTHER	GEORGIA	AMERIGROUP
3	52597492	OTHER	GEORGIA	BCBS OF GEORGIA

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: 11/21/2025

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