Individual provider Active NPI

Tonya Fisher Pruitt, FNP

  • Family Nurse Practitioner
  • Creedmoor, NC
National Provider Identifier
1245575539
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005935 Issued in NC
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

Updated by the provider on Nov 28, 2012

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140404001523 NC Practitioner - Nurse Practitioner 3375775372 Reassigns benefits to 5 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
Hoke Emergency Group, PCGroup PAC ID 7214200146, 44 clinicians

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

LicenseStateTypeSpecialty
5005935NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices LLC CurrentSince Apr 1, 2018 Accepting new patients
Emergency Coverage Services, PC CurrentSince Jan 1, 2016 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
FHPG, LLC CurrentSince Sep 18, 2017 Accepting new patients
FHPG, LLC Current Accepting new patients
FHPG, LLC CurrentSince Sep 18, 2017 Accepting new patients
Hoke Emergency Group, PC CurrentSince Aug 1, 2017 Accepting new patients
DLP Maria Parham Physician Practices, LLC CurrentSince Apr 1, 2018 Accepting new patients
Bull City Physicians, PLLC CurrentSince Feb 12, 2018 Accepting new patients
Greene Mental Wellness, PLLC CurrentSince Feb 1, 2023 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

  • Direct secure messaging: tpruitt33709@capefearvalley.direct-ci.com
  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.