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

Mark Alan Puckett

Individual provider Family Medicine Physician · NPI 1649430794

Mark Alan Puckett is a Sports Medicine in Louisville, Kentucky. Graduated from University of Louisville School of Medicine in 2008, 18 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
18
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

2400 Eastpoint Pkwy Ste 110
Louisville, KY 40223-4154
Phone: (502) 253-6699
Fax: (502) 253-6670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 45394 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 45394 (KY)

Record details

NPI number1649430794
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2008
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Louisville