Jamie Puckett (NPI# 1518512029, PAC ID# 6800127077) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518512029 |
| PAC ID by PECOS | 6800127077 |
| Professional Enrollment ID | I20191021000412 |
| Full Name | Jamie Puckett |
| Organization Legal Name | PROVIDENCE HOUSE CALLS LLC |
| Address |
115 Southport Rd Suite J Spartanburg SC 29306-3814 |
| Phone Number | 8647641141 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759528250 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 202 Wall St, Piedmont, SC 29673-6754 | 8642958714 | PROVIDENCE HOUSE CALLS LLC |
| 115 Southport Rd, Suite J, Spartanburg, SC 29306-3814 | 8647641141 | PROVIDENCE HOUSE CALLS LLC |
| Organization Legal Name | PROVIDENCE HOUSE CALLS LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Brown Garrick | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Richmond P Allan | Internal Medicine | Providence House Calls LLC | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 |
| Darci Marie Voitel | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Amanda Claire Newman | Nurse Practitioner | Providence House Calls LLC | 115 Southport Rd, Suite J, Spartanburg, SC 29306-3814 |
| Kevin P Tracy | Rheumatology | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Nancy Tinoco Farrar | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Ashley Thomas Ashford | Nurse Practitioner | Providence House Calls LLC | 115 Southport Rd, Suite J, Spartanburg, SC 29306-3814 |
| Marie Fenelon | Nurse Practitioner | Providence House Calls LLC | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 |
| Kimberly R Anderson | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Brandi Griffin | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Street Address |
115 SOUTHPORT RD SUITE J |
| City | SPARTANBURG |
| State | SC |
| Zip | 29306-3814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Richard Wagner | Chiropractic | 115 Southport Rd, Suite B, Spartanburg, SC 29306-3814 | |
| Amanda Claire Newman | Nurse Practitioner | Providence House Calls LLC | 115 Southport Rd, Suite J, Spartanburg, SC 29306-3814 |
| Ashley Thomas Ashford | Nurse Practitioner | Providence House Calls LLC | 115 Southport Rd, Suite J, Spartanburg, SC 29306-3814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Richards | Clinical Social Worker | 175 Magnolia St, Suite 104, Spartanburg, SC 29306-2324 | |
| Sarah Jordan | Podiatry | Carolina Foot Care LLC | 1399 John B White Sr Blvd, Spartanburg, SC 29306-3911 |
| Michael Jordan | Podiatry | Carolina Foot Care LLC | 1399 John B White Sr Blvd, Spartanburg, SC 29306-3911 |
| Clayton L Broome | Chiropractic | 1425 John B White Sr Blvd, Spartanburg, SC 29306-3919 | |
| Rochelle J Delain | Chiropractic | 1425 John B White Sr Blvd, Spartanburg, SC 29306-3919 | |
| Paul Morris | Chiropractic | 1218 John B White Sr Blvd, Suite F, Spartanburg, SC 29306-3920 | |
| Barry R Gorlitsky | Nephrology | Carolina Nephrology Pa | 1410 B John B White Sr Blvd, Spartanburg, SC 29306-3927 |
| Veniamin Y Korikov | Chiropractic | 1230 John B White Sr Blvd, Spartanburg, SC 29306-3929 | |
| Jian Wu | Physician Assistant | Advanced Dermatology of Sc PC | 1250 John B White Sr Blvd, Spartanburg, SC 29306-3929 |
| Heather Putnam Oliver | Nurse Practitioner | Advanced Dermatology of Sc PC | 1250 John B White Sr Blvd, Spartanburg, SC 29306-3929 |
| Find all physicians in zip 29306 | |||
| City | SPARTANBURG |
| Zip Code | 29306 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPARTANBURG + NURSE PRACTITIONER |
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| 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.