NPIMap

Organization Active NPI

Don L. Pruitt

  • General Practice Physician
  • Suches, GA
National Provider Identifier
1245428085
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
019982 Issued in GA
Legal business name
DON L. PRUITT
Practice address
3693 State Highway 60
Suches, GA 30572-2921
Phone
(706) 747-1421
Fax
(706) 747-1423
NPI assigned
Oct 5, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Dr. Don Lee Pruitt, MDNPI 1194808253
Title
Doctor
Phone
(706) 754-1421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 019982 GA Primary

Addresses

Primary practice location

3693 State Highway 60
Suches, GA 30572-2921

Mailing address

3693 State Highway 60
PO Box 59
Suches, GA 30572-2921
Phone (706) 747-1421

Other identifiers 1

IdentifierTypeStateIssuer
08OtherGAMEDICARE PROVIDER ID

National Provider Directory

National Provider Directory

Locations

3693 State Highway 60
Suches, GA 30572
Phone (706) 747-1421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1245428085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3693 STATE HIGHWAY 60",
            "address_2": "PO BOX 59",
            "city": "SUCHES",
            "state": "GA",
            "postal_code": "305722921",
            "telephone_number": "706-747-1421",
            "fax_number": "706-747-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3693 STATE HIGHWAY 60",
            "city": "SUCHES",
            "state": "GA",
            "postal_code": "305722921",
            "telephone_number": "706-747-1421",
            "fax_number": "706-747-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON L. PRUITT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "706-754-1421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "019982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "08",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suches, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.