Southeast Orthopedic Specialists, LLC
NPI 1003542465 · Durable Medical Equipment & Medical Supplies · St Johns, FL
Enrolled with Medicare as Dme Supplier - Physician - Orthopedic/Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Orthopedic Specialists, LLC is a Durable Medical Equipment & Medical Supplies organization in St Johns, FL (NPI 1003542465).
Provider details
- NPI number
- 1003542465
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Brett Puckett, MD(904) 634-0640
Specialties & taxonomies
Suppliers
- Customized Equipment (DME)332BC3200X
Suppliers
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-28
- Last updated
- 2023-03-08
- Certified
- 2023-03-08
Frequently asked questions
- What is Southeast Orthopedic Specialists, LLC's NPI number?
- Southeast Orthopedic Specialists, LLC's National Provider Identifier (NPI) is 1003542465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Orthopedic Specialists, LLC?
- Southeast Orthopedic Specialists, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Southeast Orthopedic Specialists, LLC located?
- Southeast Orthopedic Specialists, LLC's practice location on file with NPPES is 3055 County Road 210 W Ste 110, St Johns, FL 32259-7001.
- What is Southeast Orthopedic Specialists, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Orthopedic Specialists, LLC is (904) 634-0640.
- Does Southeast Orthopedic Specialists, LLC accept Medicare?
- Southeast Orthopedic Specialists, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeast Orthopedic Specialists, LLC?
- The authorized official listed on Southeast Orthopedic Specialists, LLC's NPPES record is Brett Puckett, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Orthopedic Specialists, LLC's NPI active?
- Yes — Southeast Orthopedic Specialists, LLC's NPI (1003542465) is active in the NPPES registry as of the last update on 2023-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.