Hailey Puckett

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

34800 Issued in TN

Practice address

16110 McArthur St
Manchester, TN 37388

Phone

(931) 962-3500

NPI assigned

Oct 30, 2023

Last updated

Feb 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amg-Southern Tennessee LLCGroup PAC ID 5991765943, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hailey.puckett.1@19363.direct.athenahealth.com

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

• Amg-Southern Tennessee LLC

  dba Highpoint Family Wellness - Winchester With Ascension Saint Thomas

  • General Practice Physician
  • Winchester, TN
  • NPI 1164789467
  Medicare reassignment Care Compare group NPD
• Amg-Southern Tennessee LLC

  dba Highpoint Family Wellness - Blackwell with Ascension Saint Thomas

  • Rural Health Clinic/Center
  • Tullahoma, TN
  • NPI 1174365803
  NPD
• Amg -Southern Tennessee LLC

  • Internal Medicine Physician
  • Monteagle, TN
  • NPI 1699792390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1164295408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD SUITE C",
            "city": "WARTRACE",
            "state": "TN",
            "postal_code": "371833030",
            "telephone_number": "931-962-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "37388",
            "telephone_number": "931-962-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Hospital Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "TN",
            "postal_code": "373982495",
            "country_code": "US",
            "telephone_number": "931-967-8258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "HAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "34800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Tennessee Medical, P.C. (Dot Manchester Family Health Center)
• Privia Medical Group Tennessee LLC (Sports Ortho Urgent Care)
• Professional Ultrasound Imaging LLC
• Katherine Propst, APRN BC
• Proxima Centauri, PLLC (Lincoln Tree Medical Clinic of Tullahoma, PLLC)
• Janet Pugh, OTR
• R. L. Williams Family Medicine, PLLC
• Sarah Ramsey
• Richard Randolph, PHARM. D.
• Stacy Gaylynn Rayfield, FNP

• Women's Health Nurse Practitioner in Manchester, TN
• Providers in Manchester, TN by specialty
• Women's Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.