Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Heather Caudill Puckett, ANP-C

Individual provider Adult Health Nurse Practitioner · NPI 1679598791

Mrs. Heather Caudill Puckett, ANP-C is a Nurse Practitioner in Concord, North Carolina. Qualified in 2004, 22 years ago. Practices with Paragon Surgical Specialists PA, a 17-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
22
Licensed in
NC
In the registry since
2006
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Practice location Address checks out

200 Medical Park Dr Ste 400
Concord, NC 28025-0906
Phone: (704) 786-1108
Fax: (704) 782-1826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 900455 (NC)

Record details

NPI number1679598791
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-C
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Paragon Surgical Specialists Pa — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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