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RHONDA KIM PUCKETT
NPI 1205371325
Nurse Practitioner - Family in Rome, GA

Active since December 28, 2016
18 RIVERBEND DR SW STE 120, ROME, GA 30161(706) 378-1202 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2018, Jul 17, 2018, Jun 29, 2018 and 1 more (4 updates tracked since 2016).

About Rhonda Kim Puckett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RHONDA KIM PUCKETT (NPI 1205371325) is an individual family provider in Rome, Georgia, licensed in Georgia (RN077416) and active in the NPI registry since December 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205371325
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRHONDA KIM PUCKETT
Location Address18 RIVERBEND DR SW STE 120Rome, GA 30161
Mailing AddressPo Box 80883Athens, GA 30608-0883 · (706) 549-8114
Phone(706) 378-1202
Sole ProprietorNo
Enumeration DateDecember 28, 2016
Last NPPES UpdateNovember 8, 20184 updates tracked since enumeration
✔ NPI 1205371325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN077416
18 RIVERBEND DR SW STE 120, Rome, GA 30161
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Other Names 1

Former Name (1)Rhonda Kim Earwood

Secondary Practice Locations 2

Location 146 Robinhood DrCedartown, GA 30125-4353 · Phone (770) 639-5068
Location 21503 Professional Ct Ste 100Dalton, GA 30720-2566 · Phone (706) 281-2121 · Fax (706) 378-1204

Other Identifiers 1

Medicaid003200186GA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGIA INTERVENTIONAL PAIN - I, LLC
Clinic/Center (Ambulatory Surgical)
18 RIVERBEND DR SW STE 120
ROME, GA 30161
Floyd County (770) 962-3642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rhonda Puckett's NPI number?

The NPI number for Rhonda Puckett is 1205371325. It was assigned to this individual provider in the NPPES registry on December 28, 2016. The provider is also known as Rhonda Kim Earwood.

Where is Rhonda Puckett located?

Rhonda Puckett practices at 18 Riverbend Dr SW Ste 120, Rome, GA 30161. The listed phone number is (706) 378-1202.

What is Rhonda Puckett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rhonda Puckett was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.