Individual provider Active NPI

Megan Elizabeth Pruette, M.D.

  • Psychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1104212315
Registry record updated Apr 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2019-00933 Issued in NC
Practice address
77 Vilcom Center Dr
Chapel Hill, NC 27514-1788
Phone
(984) 974-5217
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 2019-00933 NC Primary

Addresses

Primary practice location

77 Vilcom Center Dr
Chapel Hill, NC 27514-1788

Mailing address

2106 Greenwich PL
Durham, NC 27705-1373
Phone (949) 633-6045

Other names 1

  • Megan Pruette Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190924002052 NC Practitioner - Psychiatry 7315277969 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Multi-Specialty CurrentSince Aug 30, 2019 Accepting new patients
Unc Physicians Network LLC Multi-Specialty CurrentSince Mar 17, 2022 Accepting new patients
Unc Physicians Network LLC Multi-Specialty Current Accepting new patients

Locations

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

75 Freedom Pkwy
Ste C
Pittsboro, NC 27312
Phone (919) 525-0911

163 Medical Park Dr
Ste 210
Siler City, NC 27344
Phone (919) 742-6032

163 Medical Park Dr
#210
Siler City, NC 27344
Phone (919) 742-6032

Interoperability endpoints

  • Direct secure messaging: mpruette554610@direct.unc.nchie.net

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1104212315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 GREENWICH PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051373",
            "telephone_number": "949-633-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VILCOM CENTER DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141788",
            "telephone_number": "984-974-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETTE",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2019-00933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WILSON",
            "middle_name": "PRUETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.