Active NPI
Tonya Fisher Pruitt, FNP
- Family Nurse Practitioner
- Creedmoor, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5005935
- Practice address
- 1614 NC Highway 56
Creedmoor, NC 27522-8297 - Phone
- (919) 582-7171
- NPI assigned
- Nov 28, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5005935 | NC | Primary |
Addresses
Primary practice location
1614 NC Highway 56
Creedmoor, NC 27522-8297
Mailing address
4039 Ridley Field Dr
Wake Forest, NC 27587-6081
Phone (919) 554-4158
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: No
Enrollment records 1
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
Practice addresses (Care Compare)
210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005935 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| Hoke Emergency Group, PC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| Bull City Physicians, PLLC | Current | Accepting new patients | |
| Greene Mental Wellness, PLLC | Current | Accepting new patients | |
| Carrington Health Center | Past | Accepting new patients |
Locations
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
1010 College St
Oxford, NC 27565
Phone (919) 623-5115
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000
925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
520 Allen St
Troy, NC 27371
Phone (910) 571-5000
992 Durham Rd
Ste C
Wake Forest, NC 27587
Phone (919) 230-1419
Interoperability endpoints
- tpruitt33709@capefearvalley.direct-ci.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Raeford, NC
- NPI 1003337528
-
- Emergency Medicine Physician
- Henderson, NC
- NPI 1770004285
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Family Medicine Physician
- Lillington, NC
- NPI 1760329486
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
dba Maria Parham Pain Solutions
- Physical Medicine & Rehabilitation Physician
- Henderson, NC
- NPI 1730466475
-
dba FirstHealth Family Medicine-Ellerbe
- Family Medicine Physician
- Ellerbe, NC
- NPI 1336154129
-
dba FirstHealth Montgomery Memorial Hospital Professional Services
- Specialist
- Troy, NC
- NPI 1346279445
-
dba FirstHealth Primary Care - Tramway
- Family Medicine Physician
- Sanford, NC
- NPI 1942196035
-
dba Greene Mental Wellness
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Wake Forest, NC
- NPI 1093456378
-
dba CHI St. Alexius Health Carrington Medical Clinic & Urgent Care
- Rural Health Clinic/Center
- Carrington, ND
- NPI 1558389338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1245575539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4039 RIDLEY FIELD DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876081",
"telephone_number": "919-554-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 NC HIGHWAY 56",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "275228297",
"telephone_number": "919-582-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "TONYA",
"middle_name": "FISHER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-28",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5005935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creedmoor, NC
- Robin Peterson, NP
- Pinnacle Community Foundation
- Pinnacle Counseling Services, PLLC
- Premier Eye Institute, OD, PLLC
- Private Diagnostic Clinic, PLLC (Duke Specialty Butner-Creedmoor)
- Quality Faith Home Care Agency, LLC
- Tarrelle Crews Reade, PMHNP, DNP, RN
- Desiree Reed, HEALTH COACH
- Reflective Counseling Services, PLLC
- Restoring Bodies and Minds, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.
- 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.