Individual provider Active NPI

Anna C Pruitt, MD

  • Pediatrics Physician
  • North Charleston, SC
National Provider Identifier
1023057676
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19626 Issued in SC
Practice address
8761 Dorchester Rd Ste 100
North Charleston, SC 29420-7320
Phone
(843) 747-4647
Fax
(843) 745-0969
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 19626 SC Primary

Addresses

Primary practice location

8761 Dorchester Rd Ste 100
North Charleston, SC 29420-7320

Mailing address

8761 Dorchester Rd Ste 100
North Charleston, SC 29420-7320
Phone (843) 747-4647

Other identifiers 3

IdentifierTypeStateIssuer
571020809034OtherSCTRICARE
196264MedicaidSC
571020809002OtherSCBCBS SC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170222002354 SC Practitioner - Pediatric Medicine 3971887787 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Doctors LLC Pediatrics CurrentSince Jan 16, 2017 Accepting new patients
Liberty Doctors, LLC CurrentSince Jan 16, 2017 Accepting new patients
Liberty Doctors LLC Past Accepting new patients

Locations

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

8761 Dorchester Rd
Ste 100
North Charleston, SC 29420
Phone (843) 747-4647

3800 Faber Place Dr
North Charleston, SC 29405
Phone (252) 455-9725

Interoperability endpoints

  • Direct secure messaging: apruitt@libertydoctors.ssdirect.aprima.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1023057676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8761 DORCHESTER RD STE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294207320",
            "telephone_number": "843-747-4647",
            "fax_number": "843-745-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 DORCHESTER RD STE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294207320",
            "telephone_number": "843-747-4647",
            "fax_number": "843-745-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "ANNA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "19626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "571020809034",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196264",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SC",
            "identifier": "571020809002",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.