Christopher Puckett, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2662 Issued in AL

Practice address

262 Sutton Rd SE
Owens Cross Roads, AL 35763-8753

Phone

(256) 265-0350

Fax

(256) 265-0357

NPI assigned

Apr 18, 2018

Last updated

Nov 10, 2021By the provider in NPPES

Sex

Male

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

Enrolled in AL

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

Specialty

Family Practice

Education

Edward Via Col of Osteo Medicine-Virginia Campus, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HH Physician CareGroup PAC ID 4082042940, 108 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Hospital Homecare Home health agency, Huntsville, AL, CCN 017119
• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HH Physician Care

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1144860123

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Healthcare Authority of the City of Huntsville

  dba HH Physician Care at Bailey Cove

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1235434077
  NPD (past)

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

• Hga Homecare, LLC

  dba Huntsville Hospital HomeCare

  • Home Health Agency
  • Huntsville, AL
  • NPI 1427237387
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1679060388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-265-0350",
            "fax_number": "256-265-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 SUTTON RD SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638753",
            "telephone_number": "256-265-0350",
            "fax_number": "256-265-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "CHRISTOPHER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "2662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Vision Care, PC (Performance Vision)
• Kristi B. Phillips, COTA/L
• Terry Keith Pinson, R.PH.
• Jonathan E. Pope, D.M.D.
• Publix Alabama LLC (Publix Pharmacy #0573)
• Madelyn Ann Rhett
• Alyssa Kate Ritter, PT, DPT
• Tommie Matthew Robinson III, M.D.
• Adrienne Rain Savage, PHARM.D.
• Courtney Elise Savignano

• Family Medicine Physician in Owens Cross Roads, AL
• Providers in Owens Cross Roads, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.