Mackenzie Anthony Puckett, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009975 Issued in GA

Practice address

335 Hawthorne LN
Athens, GA 30606

Phone

(706) 543-5901

Fax

(706) 543-5901

NPI assigned

Nov 16, 2017

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 GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anthony Offices of Chiropractic, PC

  • Medical Specialty Clinic/Center
  • Athens, GA
  • NPI 1144593146
  Medicare reassignment NPD
• Anthony Chiropractic Clinic, LLC

  • Chiropractor
  • Athens, GA
  • NPI 1407722309
  NPD Authorized official

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1194238873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 HAWTHORNE LN",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062153",
            "telephone_number": "706-543-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 HAWTHORNE LN",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-543-5901",
            "fax_number": "706-543-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "MACKENZIE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Public Medical Equipment Company
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• Lauren Pucci, PHD, LCP
• Julie A Puder, PA-C
• Carlos A. Pulido, MD
• Ouanza Adiki Puplampu, M.D.
• Avery Pursell
• Vivion Cate Purser

• Chiropractor in Athens, GA
• Providers in Athens, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.