Active NPI
Frankie A. Puckett, M.D.
- Family Medicine Physician
- Webster Springs, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22820
- Practice address
- 125 Diana Dr
Webster Springs, WV 26288-9078 - Phone
- (304) 847-5682
- Fax
- (304) 847-5985
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 22820 | WV | |
| Family Medicine Physician | 207Q00000X | 22820 | WV | Primary |
Addresses
Primary practice location
125 Diana Dr
Webster Springs, WV 26288-9078
Mailing address
125 Diana Dr
Webster Springs, WV 26288-9078
Phone (304) 847-5682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810018033 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- JC Edwards School of Medicine, Marshall University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Diana Dr
Webster Springs, WV 26288-9078
Phone (304) 847-5682
Hospital & facility affiliations
- Centerwell Home Health
- Webster Memorial Hospital
- Webster Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22820 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webster Memorial Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Webster County Memorial Hospital | Current | Accepting new patients |
Locations
70 Technology Ln
Cowen, WV 26206
Phone (304) 226-3150
125 Diana Dr
Webster Springs, WV 26288
Phone (304) 847-5682
Interoperability endpoints
- frankiep@wcmhwv.securechart.com
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Webster Springs, WV
- NPI 1679241152
Family Medicine
-
- Critical Access Hospital
- Webster Springs, WV
- NPI 1699778704
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Summersville, WV
- NPI 1396971107
-
- Critical Access Hospital
- Webster Springs, WV
- NPI 1679241152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1851489157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 DIANA DR",
"city": "WEBSTER SPRINGS",
"state": "WV",
"postal_code": "262889078",
"telephone_number": "304-847-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 DIANA DR",
"city": "WEBSTER SPRINGS",
"state": "WV",
"postal_code": "262889078",
"telephone_number": "304-847-5682",
"fax_number": "304-847-5985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKETT",
"first_name": "FRANKIE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "22820",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "22820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810018033",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster Springs, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.