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

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: October 25, 2026.

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

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

4

Medicare enrollment records show Nicolette Puckett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Anesthesia Services, LLC
2.9 mi
Pediatric Anesthesiology
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 159 clinicians in this Medicare group
NPI 1437203098 (404) 785-6000
Choa Hospital Based, LLC
2.9 mi
Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 251 clinicians in this Medicare group
NPI 1457695488 (404) 785-6000
Piedmont Anesthesia Associates, L.L.C
4.4 mi
Anesthesiology
1984 PEACHTREE ROAD NW, SUITE 515
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 441 clinicians in this Medicare group
NPI 1407856594 (404) 351-1745
Piedmont Anesthesia LLC
20 mi
Anesthesiology
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 713 clinicians in this Medicare group
NPI 1700474244 (678) 604-1053

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JENNIE NAHODYL PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JESSE FARRIS PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JENNIFER ANNE TENORIO KETCHAM CRNA
Nurse Anesthetist, Certified Registered
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
KINGSLEY DUNWOODY PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
LAUREN KEISTER PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
SHIVANI MUKKAMALA MD
Anesthesiology
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
VICTORIA FERNANDEZ PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670

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 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.

Where is Nicolette Puckett located?

Nicolette Puckett practices at 1405 Clifton Rd NE Fl 3, Atlanta, GA 30322. The listed phone number is (404) 785-6670.

What is Nicolette Puckett's specialty?

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

Is Nicolette Puckett enrolled in Medicare?

Yes. Nicolette Puckett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicolette Puckett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolette Puckett reassigns Medicare benefits to 4 organizations: Children's Anesthesia Services, LLC (Brookhaven, GA), Choa Hospital Based, LLC (Brookhaven, GA), Piedmont Anesthesia Associates, L.L.C (Atlanta, GA) and Piedmont Anesthesia LLC (Stockbridge, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicolette Puckett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.