Southeast Orthopedic Specialists, LLC
NPI 1548681109 · Orthopaedic Surgery Physician · Ponte Vedra Beach, 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 Orthopaedic Surgery Physician organization in Ponte Vedra Beach, FL (NPI 1548681109).
Provider details
- NPI number
- 1548681109
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brett Puckett, President(904) 634-0640
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2013-12-30
- Last updated
- 2022-12-12
- Certified
- 2022-12-12
Frequently asked questions
- What is Southeast Orthopedic Specialists, LLC's NPI number?
- Southeast Orthopedic Specialists, LLC's National Provider Identifier (NPI) is 1548681109, 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 Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Orthopedic Specialists, LLC located?
- Southeast Orthopedic Specialists, LLC's practice location on file with NPPES is 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600.
- 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, President. 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 (1548681109) is active in the NPPES registry as of the last update on 2022-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.