Pamela T. Puett, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN089764 Issued in GA

Practice address

1279 Highway 54 W Ste 220
Fayetteville, GA 30214-4552

Phone

(770) 991-2200

Fax

(770) 991-1341

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Southern Crescent Women'S Healthcare PC

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1427061589
  NPD (past)
• Women'S Community Care, PC

  • Gynecology Physician
  • Fayetteville, GA
  • NPI 1417167446
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1619189784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 HIGHWAY 54 W STE 220",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144552",
            "telephone_number": "770-991-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 HIGHWAY 54 W STE 220",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144552",
            "telephone_number": "770-991-2200",
            "fax_number": "770-991-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUETT",
        "first_name": "PAMELA",
        "middle_name": "T.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN089764",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN089764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Provider Resource Solutions of Georgia, Inc
• Provision Physical Therapy,LLC
• Psychotherapy and Trauma Specialists
• Publix Super Markets Inc
• Publix Super Markets Inc
• Terrell Pugh
• Jeanette Pulsifer, LPN
• Puretouch Wellness Haven,Inc
• Patricia C Purnell, PA
• Brian Purser, AA

• Advanced Practice Midwife in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.