DR. BERT PUCKETT WALL (M.D.) – Family Medicine Physician, NPI 1154423754

DR. BERT PUCKETT WALL (M.D.) is a healthcare provider. based in Barnesville, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 048003 (GA). The NPI Number for DR. BERT PUCKETT WALL (M.D.) is 1154423754

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. BERT PUCKETT WALL (M.D.)
NPI
1154423754
Phone
(770) 358-3284
Address
526 COLLEGE DR
Enumeration Date
3 September 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7066478111
Graduation Year
1998 (28 years ago)
PAC ID
7315924917
Group Practice PAC ID
4486903176
Professional Enrollment ID
I20040702000549
Address ID
GA302863426TH801XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

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Provider Addresses for DR. BERT PUCKETT WALL (M.D.)

  • 526, College Drive, Barnesville, Lamar County, Georgia, 30204, United States

    BARNESVILLE, GA 302041713

    Phone: (770) 358-3284

    Fax: (770) 358-1015

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040702000549IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes459164$0
99239Hospital discharge day management, more than 30 minutes192167$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes141126$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11558$0
99291Critical care, first 30-74 minutes7424$0
View full utilization report →

Insurance plans in this area (ZIP 30204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486903176View full group profile
NameSpecialtyState
-GA
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What federal number belongs to DR. BERT PUCKETT WALL (M.D.)?
The federal identifier for DR. BERT PUCKETT WALL (M.D.) is NPI 1154423754.
Is DR. BERT PUCKETT WALL (M.D.) active in the national directory?
DR. BERT PUCKETT WALL (M.D.)'s public NPI profile is in an active state.
What does DR. BERT PUCKETT WALL (M.D.) treat or focus on?
Patients typically see DR. BERT PUCKETT WALL (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. BERT PUCKETT WALL (M.D.)?
The snapshot lists Barnesville, Georgia for DR. BERT PUCKETT WALL (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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