Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hailey Puckett

Individual provider Women's Health Nurse Practitioner · NPI 1164295408

Hailey Puckett is a Nurse Practitioner in Manchester, Tennessee. Qualified in 2023, 3 years ago. Practices with Amg-Southern Tennessee LLC, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2023

Practice location Address checks out

16110 McArthur St
Manchester, TN 37388
Phone: (931) 962-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 Hospital Rd Ste C, Winchester, TN 37398-2495 — (931) 967-8258

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 34800 (TN)

Record details

NPI number1164295408
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2023
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 20, 2025
Mailing address155 Hospital Rd Suite C, Wartrace, TN 37183-3030

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Amg-Southern Tennessee Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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