Individual provider Active NPI

Barbara L Pruitt, APRN, FNP-C

  • Family Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1063752012
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN151379 Issued in GA
Practice address
1021 Jamestown Blvd Ste 215
Watkinsville, GA 30677
Phone
(706) 389-2273
Fax
(706) 389-2298
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN151379 GA Primary

Addresses

Primary practice location

1021 Jamestown Blvd Ste 215
Watkinsville, GA 30677

Mailing address

PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3740

Other practice location 1

4900 Ivey Rd NW Bldg 1000
Suite 1025
Acworth, GA 30101
Phone (770) 917-9557

Other practice location 2

4900 Ivey Rd NW Bldg 1000
Suite 1025
Acworth, GA 30101
Phone (770) 917-9557

Other practice location 3

4900 Ivey Rd NW Bldg 1000
Suite 1025
Acworth, GA 30101
Phone (770) 917-9557

Other practice location 4

4900 Ivey Rd NW Bldg 1000
Suite 1025
Acworth, GA 30101
Phone (770) 917-9557

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bpruitt2022097@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130524000212 GA Practitioner - Nurse Practitioner 5294973616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

Hospital & facility affiliations

  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • Elbert Memorial Hospital Hospital, Elberton, GA, CCN 111337

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, Inc Current Accepting new patients
St. Mary'S Medical Group, Inc. CurrentSince Sep 23, 2019 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Aug 1, 2018 Accepting new patients
St. Mary'S Medical Group, Inc. CurrentSince Sep 23, 2019 Accepting new patients
Northwest Georgia Surgical Specialists, PC Past Accepting new patients
St. Mary'S Medical Group, Inc. Past Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients

Locations

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1021 Jamestown Blvd
Ste 215
Watkinsville, GA 30677
Phone (706) 389-2273

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8888/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bpruitt2022097@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4
  • Direct secure messaging: barbara.pruitt.1@13373.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1063752012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3740",
            "fax_number": "706-389-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 JAMESTOWN BLVD STE 215",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "706-389-2273",
            "fax_number": "706-389-2298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 Ivey Rd NW Bldg 1000",
            "address_2": "Suite 1025",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "30101",
            "country_code": "US",
            "telephone_number": "770-917-9557",
            "fax_number": "770-917-9558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Ivey Rd NW Bldg 1000",
            "address_2": "Suite 1025",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "30101",
            "country_code": "US",
            "telephone_number": "770-917-9557",
            "fax_number": "770-917-9558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Ivey Rd NW Bldg 1000",
            "address_2": "Suite 1025",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "30101",
            "country_code": "US",
            "telephone_number": "770-917-9557",
            "fax_number": "770-917-9558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Ivey Rd NW Bldg 1000",
            "address_2": "Suite 1025",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "30101",
            "country_code": "US",
            "telephone_number": "770-917-9557",
            "fax_number": "770-917-9558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "BARBARA",
        "middle_name": "L",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN151379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpruitt2022097@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1021 Jamestown Blvd Ste 215",
            "city": "Watkinsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.