Jessica Erin Hyatt Pruett, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8074 Issued in SC

Practice address

200 Byron Rd
Columbia, SC 29209-1535

Phone

(803) 766-7600

NPI assigned

Jun 14, 2012

Last updated

Jun 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1053673103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BYRON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091535",
            "telephone_number": "803-766-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BYRON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091535",
            "telephone_number": "803-766-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "JESSICA",
        "middle_name": "ERIN HYATT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Professional Services LLC
• Providence Pulmonary Specialists, LLC (Midlands Pulmonary, Critical Care & Sleep Medicine)
• Provident Place
• Providing Promises LLC
• Provision Healthcare, LLC
• Sallie I Prugh, CPNP
• Pruitthealth - Columbia, LLC (PruittHealth - Columbia)
• Pruitthealth Home Health, Inc. (PruittHealth Home Health - Columbia)
• Pruitthealth Hospice, Inc. (PruittHealth Hospice - Columbia)
• Pruitthealth Hospice, Inc. (PruittHealth Hospice - Columbia)

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.