Fredric Clark Puckett, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N1080 Issued in TX

Practice address

2203 W Lampasas St
Suite 205
Ennis, TX 75119-5644

Phone

(972) 875-6200

Fax

(972) 875-6414

NPI assigned

Apr 24, 2008

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Fredric Puckett, PLLC

  • Family Medicine Physician
  • Ennis, TX
  • NPI 1073748562

  Family Medicine, TX

  Medicare reassignment Care Compare group NPD Authorized official
• Integrative Emergency Services Physician Group-Houston PLLC

  • Emergency Medicine Physician
  • Pasadena, TX
  • NPI 1801458708

  Emergency Medicine, TX

  Medicare reassignment Care Compare group NPD
• Texas Specialty Physicians

  • Family Medicine Physician
  • Palestine, TX
  • NPI 1558521179

  TX

  Medicare reassignment Care Compare group
• Ellis Emergency Group PA

  • Emergency Medicine Physician
  • Ennis, TX
  • NPI 1497715239

  Emergency Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• PRHC Ennis LP

  • General Acute Care Hospital
  • Ennis, TX
  • NPI 1700805678

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Fredric Puckett PLLC 3 clinicians

Integrative Emergency Services Physician Group-Houston PLLC 212 clinicians

Texas Specialty Physicians 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ennis Regional Medical Center Hospital, Ennis, TX, CCN 450833

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as virtual group

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fredric.puckett.1@11523.direct.athenahealth.com
• Direct secure messaging: mto9322@yourcarecommunity.org
• FHIR API: https://api.platform.athenahealth.com/11523/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2026.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1154596765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST STE 111",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195667",
            "telephone_number": "972-875-6200",
            "fax_number": "972-875-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST",
            "address_2": "SUITE 205",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-6200",
            "fax_number": "972-875-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 W Lampasas St",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "751195644",
            "country_code": "US",
            "telephone_number": "972-875-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 S Bonham St",
            "address_purpose": "LOCATION",
            "city": "Mexia",
            "state": "TX",
            "postal_code": "766673603",
            "country_code": "US",
            "telephone_number": "254-562-5332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "FREDRIC",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N1080",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208303201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208303202",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "athenahealth",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2203 W Lampasas St Ste 111",
            "city": "Ennis",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751195667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Premier Care Services of Ennis, LLC
• PRHC - Ennis LP
• PRHC Ennis LP
• Prime Diagnostic Imaging of Ennis, LLC
• Professional Lone Star Anesthesia Associates, P
• Lewis Alton Ragsdale, COTA
• Evette Marie Ramirez, DPT
• Sherri L Rankin, PT
• Melinda L Redpath
• Regional Home Medical Equipment Inc

• All providers in Ennis, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.