Active NPI
John Kirk Pruitt, RN
- Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-164079
- Practice address
- 1802 6TH Ave S
Birmingham, AL 35233-1932 - Phone
- (205) 934-3411
- NPI assigned
- Apr 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-164079 | AL | Primary |
Addresses
Primary practice location
1802 6TH Ave S
Birmingham, AL 35233-1932
Mailing address
841 Roundhill Rd
Pelham, AL 35124-1519
Phone (954) 732-1832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-164079 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Associates LLC | Nurse Practitioner | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Nurse Practitioner | Current | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000
820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761
3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Baton Rouge, LA
- NPI 1093758781
AL, Nurse Practitioner
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
AL, Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent's East
- General Acute Care Hospital
- Birmingham, AL
- NPI 1841308020
-
dba Ascension St. Vincent's St. Clair
- General Acute Care Hospital
- Pell City, AL
- NPI 1992809305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1023638954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 ROUNDHILL RD",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241519",
"telephone_number": "954-732-1832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331932",
"telephone_number": "205-934-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "JOHN",
"middle_name": "KIRK",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-21",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-164079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.