PUCKETT MEDICAL CLINIC
NPI 1932476280
Clinic/Center - Health Service in Brandon, MS

Active since November 30, 2011
6455 HIGHWAY 18, BRANDON, MS 39042(601) 824-9490(601) 824-9533 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Puckett Medical Clinic NPPES

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

PUCKETT MEDICAL CLINIC (NPI 1932476280) is a healthcare organization registered as a health service in Brandon, Mississippi and active in the NPI registry since November 2011. The organization lists Debra Develin, Owner, as its authorized official.

NPPES Registry Identity

NPI1932476280
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePUCKETT MEDICAL CLINIC
Location Address6455 HIGHWAY 18Brandon, MS 39042-7536
Mailing AddressPo Box 366Puckett, MS 39151-0366 · (601) 824-9490 · Fax (691) 824-9533
Fax(601) 824-9533
Organization SubpartNo
Authorized OfficialDebra DevelinOwner · (601) 824-9490
Enumeration DateNovember 30, 2011
NPI 1932476280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in MS · R633283
6455 HIGHWAY 18, Brandon, MS 39042

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
6455 HIGHWAY 18
BRANDON, MS 39042
Clinic/Center (Rural Health)
6455 HIGHWAY 18
BRANDON, MS 39042

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 Puckett Medical Clinic's NPI number?

The NPI number for Puckett Medical Clinic is 1932476280. It was assigned to this organization in the NPPES registry on November 30, 2011.

Where is Puckett Medical Clinic located?

Puckett Medical Clinic is located at 6455 Highway 18, Brandon, MS 39042. The listed phone number is (601) 824-9490.

What is Puckett Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Puckett Medical Clinic was last updated on November 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.