NICOLETTE MUSARRA PUCKETT PAA
NPI 1417972001
Anesthesiologist Assistant in Atlanta, GA

Q: What is Nicolette Puckett's NPI number?

The NPI number for Nicolette Puckett is 1417972001. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Nicolette Puckett's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicolette Puckett was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 13, 2006Accepts Medicare Assignment

1405 CLIFTON RD NE FL 3, ATLANTA, GA 30322(404) 785-6670(404) 785-1362 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

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About Nicolette Musarra Puckett Paa NPPES

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

NICOLETTE MUSARRA PUCKETT PAA (NPI 1417972001) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (4597) and active in the NPI registry since July 2006. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1417972001

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameNICOLETTE MUSARRA PUCKETTCredential: PAA

Location Address1405 CLIFTON RD NE FL 3Atlanta, GA 30322-1060

Mailing Address1405 Clifton Rd Ne Fl 3Atlanta, GA 30322-1060 · (404) 785-6670 · Fax (404) 785-1362

Phone(404) 785-6670

Fax(404) 785-1362

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 13, 2006

Last NPPES UpdateJune 6, 20222 updates tracked since enumeration

✔ NPI 1417972001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 4597

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1405 CLIFTON RD NE FL 3, Atlanta, GA 30322

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicolette Musarra Puckett Paa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567497472

PECOS Enrollment IDI20050929000357

Other Providers at the Same Location NPPES 20

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

MATTHEW LEWIS PAA

Anesthesiologist Assistant