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

Russell Prentice Puckett, MD

Individual provider Emergency Medicine Physician · NPI 1225723505

Russell Prentice Puckett, MD is an Emergency Medicine Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 793-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 114115 (GA)

Record details

NPI number1225723505
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2023
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

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