Active NPI
Mary Janice Puckett, PAC
- Physician Assistant
- Sylva, NC
National Provider Identifier
1346346210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001000103
- Practice address
- 538 Scotts Creek Rd, Suite 100
Jcdph
Sylva, NC 28779 - Phone
- (828) 587-8267
- Fax
- (828) 587-8295
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001000103 | NC | Primary |
Addresses
Primary practice location
538 Scotts Creek Rd, Suite 100
Jcdph
Sylva, NC 28779
Mailing address
PO Box 2663
Cullowhee, NC 28723-2663
Phone (828) 293-3720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holcomb Associates, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Holcomb Behavioral Health Systems
- Community/Behavioral Health Agency
- Bethlehem, PA
- NPI 1346061595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1346346210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2663",
"city": "CULLOWHEE",
"state": "NC",
"postal_code": "287232663",
"telephone_number": "828-293-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 SCOTTS CREEK RD, SUITE 100",
"address_2": "JCDPH",
"city": "SYLVA",
"state": "NC",
"postal_code": "28779",
"telephone_number": "828-587-8267",
"fax_number": "828-587-8295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKETT",
"first_name": "MARY",
"middle_name": "JANICE",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001000103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylva, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.