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

Justin Puckett

Individual provider Physician Assistant · NPI 1417447475

Justin Puckett is a Physician Assistant in Everett, Massachusetts. Qualified in 2018, 8 years ago. Practices with Cambridge Public Health Commission, a 649-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018

Practice location Address checks out

103 Garland St
Everett, MA 02149-5066
Phone: (617) 381-7133
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1417447475
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2018
Last updated in NPPESAugust 21, 2019
Mailing address3163 Valley Ln, Saint Joseph, MI 49085-3509

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cambridge Public Health Commission — 649 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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