Kim J Puckett (NPI# 1154856466, PAC ID# 2264705896) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154856466 |
| PAC ID by PECOS | 2264705896 |
| Professional Enrollment ID | I20170901003050 |
| Full Name | Kim J Puckett |
| Organization Legal Name | CAROLINA SPINE CENTER PA |
| Address |
809 S Long Dr Suite G Rockingham NC 28379-4375 |
| Phone Number | 9109973733 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446398911 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340115 | FIRSTHEALTH MOORE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 | 9109973733 | CAROLINA SPINE CENTER PA |
| Organization Legal Name | CAROLINA SPINE CENTER PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Gulsharan Singh | Interventional Radiology | Carolina Spine Center Pa | 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 |
| Peng Bai | Physical Medicine and Rehabilitation | Carolina Spine Center Pa | 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 |
| Ava White | Nurse Practitioner | Carolina Spine Center Pa | 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 |
| John Michael Schmidt | Physical Medicine and Rehabilitation | Carolina Spine Center Pa | 100 Pkwy Office Ct, Suite 108, Cary, NC 27518-7438 |
| Louis Antonio Torres | Physical Medicine and Rehabilitation | Carolina Spine Center Pa | 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 |
| Neema S Patel | Nurse Practitioner | Carolina Spine Center Pa | 940 Se Cary Pkwy, 101 Bldg 115, Cary, NC 27518-7417 |
| Street Address |
809 S LONG DR SUITE G |
| City | ROCKINGHAM |
| State | NC |
| Zip | 28379-4375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Cole | Physician Assistant | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Paul Gulsharan Singh | Interventional Radiology | Carolina Spine Center Pa | 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 |
| Kurt P Wohlrab | Orthopedic Surgery | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| James C Nichols | Physician Assistant | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Wyman T Mcguirt | Otolaryngology | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| David M Arnold | Chiropractic | 809 S Long Dr, Suite A, Rockingham, NC 28379-4375 | |
| John R Moore Iv | Orthopedic Surgery | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Mark E Brenner | Orthopedic Surgery | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Christopher Mclaurin Johnson | Orthopedic Surgery | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Peng Bai | Physical Medicine and Rehabilitation | Carolina Spine Center Pa | 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonadab Franco | Clinical Social Worker | 304 E Greene St, Rockingham, NC 28379-3423 | |
| Patsy Webb | Nurse Practitioner | Richmond County Government | 127 Caroline St, Rockingham, NC 28379-3567 |
| Janet L Sanford | Nurse Practitioner | Richmond County Government | 127 Caroline St, Rockingham, NC 28379-3567 |
| Joleen Comer Moore | Nurse Practitioner | Richmond County Government | 127 Caroline St, Rockingham, NC 28379-3567 |
| Tammie L Gainey | Nurse Practitioner | Sandhills Behavioral Care Pllc | 523 Rockingham Rd, Rockingham, NC 28379-3615 |
| Teresa K Freeman | Clinical Social Worker | Sandhills Behavioral Care Pllc | 523 Rockingham Rd, Rockingham, NC 28379-3615 |
| Jessica S Sawyer Horne | Clinical Social Worker | Daymark Recovery Services Inc | 116 S Lawrence St, Rockingham, NC 28379-3657 |
| Mirfattah Mirian | Podiatry | 721 S Long Dr, Rockingham, NC 28379-4315 | |
| Ava White | Nurse Practitioner | Carolina Spine Center Pa | 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 |
| Logan Lewis | Nurse Practitioner | Mcpc-2 LLC | 809 S Long Dr, Suite H, Rockingham, NC 28379-4375 |
| Find all physicians in zip 28379 | |||
| City | ROCKINGHAM |
| Zip Code | 28379 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROCKINGHAM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kim J Puckett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.