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

Mr. Nicholas Alexander Pukish Jr., PA-C

Individual provider Medical Physician Assistant · NPI 1073539771

Mr. Nicholas Alexander Pukish Jr., PA-C is a Physician Assistant in Biloxi, Mississippi. Qualified in 2007, 19 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Florida and Mississippi.

Years since qualifying
19
Licensed in
FL, MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

189 Walmart Ln Ste B
Biloxi, MS 39531-4564
Phone: (601) 368-6254
Show map & directions

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

Additional practice locations (2)

  • 1825 Hurlburt Rd Ste 14, Fort Walton Beach, FL 32547-3737 — (850) 610-8820
  • 4300 Bayou Blvd Ste 17d, Pensacola, FL 32503-2671 — (850) 476-3131

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00845 (MS)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA 9100880 (FL)

Record details

NPI number1073539771
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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