Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124641139 Individual Practitioner Male Practitioner

Dr. Michael Puccinelli , MD

Surgery • Dothan, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Puccinelli, MD is a certified Surgery practicing in Dothan, AL. With approximately 6 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2020, Dr. Puccinelli delivers high-quality medical care to the local community at 4300 W MAIN ST STE 21.

Dr. Puccinelli is affiliated with Wiregrass Clinic Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4300 W Main St Ste 21

Dothan, AL 363051058

Telephone 3346997900
Associated Practice Facility / Clinic
🏢 Dothan Surgical Services, Llc Facility NPI 1932497393

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dothan, AL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -15.8 yrs vs City Avg
City Avg: 21.8 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Dothan, AL (471 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Puccinelli (6 Years) 6 Yrs
Dothan Specialty Average (21.8 Years) 21.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-18
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL 52146

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Wiregrass Clinic Llc

4300 W Main St, Dothan, AL 363051058

Phone: 3346997900

Secondary Practice Locations

4300 W Main St Ste 21

Dothan, AL 363051058

Phone: 3346997900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Jason Cox , NP

Nurse Practitioner - Adult Health

NPI 1184995292

Nurse Practitioner

Emilie Sanders , FNP-C

Nurse Practitioner - Family

NPI 1306792288

Family Nurse Practitioner (Certified)

Cheyenne Shlam , APRN

Nurse Practitioner - Family

NPI 1427889823

Advanced Practice Registered Nurse

NPI 1457739286

Doctor of Medicine (M.D.)

Lynsie Guin , FNP

Nurse Practitioner - Family

NPI 1578323945

Family Nurse Practitioner

Dr. Imran Khalil , MD

Internal Medicine - Interventional Cardiology

NPI 1912282948

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 18, 2025

Registered at 4300 W MAIN ST STE 21, DOTHAN, AL 363051058 (Tel: 3346997900)

📍
Updated Business Mailing Address September 18, 2025

Registered at 4300 W MAIN ST STE 21, DOTHAN, AL 363051058 (Tel: 3346997900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2025

Surgery (License #52146 in AL)

📍
Updated Practice Location July 30, 2025

Registered at 4370 W MAIN ST, DOTHAN, AL 363051056 (Tel: 3347935000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2025

Surgery (License #35760 in OK)

NPI Profile Active May 29, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2020

Registered at 800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 731045018 (Tel: 4052716308)

📍
Updated Business Mailing Address May 29, 2020

Registered at 800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 731045018 (Tel: 4052716308)

👤
Provider Name / Credentials Updated May 29, 2020

Recorded as MICHAEL PUCCINELLI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124641139
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2020
Last Update: September 18, 2025
Sole Proprietor: No

Mailing Address

4300 W Main St Ste 21

Dothan, AL 363051058

Phone: 3346997900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.