PUCKETT MEDICAL CLINIC
NPI 1841450483
Clinic/Center - Rural Health in Brandon, MS
About Puckett Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUCKETT MEDICAL CLINIC (NPI 1841450483) is a healthcare organization registered as a rural health in Brandon, Mississippi and active in the NPI registry since June 2008. The organization lists Allen W Gary, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Puckett Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Puckett Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Simpson Community Healthcare, Inc's NPI number?
The NPI number for Simpson Community Healthcare, Inc is 1841450483. It was assigned to this organization in the NPPES registry on June 16, 2008. The provider is doing business as Puckett Medical Clinic.
Where is Simpson Community Healthcare, Inc located?
Simpson Community Healthcare, Inc is located at 6455 Highway 18, Brandon, MS 39042. The listed phone number is (601) 824-9490.
What is Simpson Community Healthcare, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Simpson Community Healthcare, Inc enrolled in Medicare?
Yes. Simpson Community Healthcare, Inc is registered in the Medicare PECOS enrollment system.
When is Simpson Community Healthcare, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Simpson Community Healthcare, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Simpson Community Healthcare, Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (3) and Emergency Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Simpson Community Healthcare, Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Simpson Community Healthcare, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Simpson Community Healthcare, Inc was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Puckett Medical Clinic · NPI 1841450483
Rural Health organization in Brandon, Mississippi. Organization record, active in the CMS NPPES registry since June 16, 2008.
## Identity
- **NPI:** 1841450483 (Entity type: Organization)
- **Enumerated:** June 16, 2008
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Simpson Community Healthcare, Inc
- **Organization subpart:** Yes (part of Simpson Community Healthcare, Inc)
- **Authorized official:** Allen Gary, COO
## Practice location
- **Address:** 6455 HIGHWAY 18, Brandon, MS 39042
- **Phone:** (601) 824-9490 · **Fax:** (601) 824-5855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (3), Emergency Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1841450483) · Data from the CMS NPPES public registry.