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

Michael Puccinelli, MD

Individual provider Surgery Physician · NPI 1124641139

Michael Puccinelli, MD is a General Surgery in Dothan, Alabama. Graduated from University of Alabama School of Medicine in 2020, 6 years ago. Practices with Wiregrass Clinic LLC, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
6
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4300 W Main St Ste 21
Dothan, AL 36305-1058
Phone: (334) 699-7900
Show map & directions

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

Additional practice locations (1)

  • 4300 W Main St Ste 21, Dothan, AL 36305-1058 — (334) 699-7900

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 52146 (AL)

Record details

NPI number1124641139
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2020
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address4300 W Main St Ste 21, Dothan, AL 36305-1058

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Wiregrass Clinic Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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