Puckett Family Medical Clinic
NPI 1689285249ActiveOrganization· Nurse Practitioner, Family· Brandon, MS
Nurse Practitioner, Family in Brandon, Mississippi, registered in NPPES in August 2020. The authorized official on file is Ashely M. Shivers, NP, Owner.
Overview
| NPI | 1689285249 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2020 |
| Last updated in NPPES | Aug 16, 2020 |
| Certified by provider | Aug 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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