Timothy Michael Pruitt, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

893878 Issued in MS

Practice address

7601 Southcrest Pkwy
Southaven, MS 38671

Phone

(662) 772-4200

NPI assigned

May 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR, KY, MS, TN, GA, VA, TX, WV, NM, NC10 enrollments

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 10

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians

Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Northwest Hospital Medicine Physicians LLCGroup PAC ID 6406805449, 67 clinicians

Southwest Emergency Medical Associates of NM PCGroup PAC ID 8426324294, 55 clinicians

Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians

Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
• Twin County Regional Hospital Hospital, Galax, VA, CCN 490115
• Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116
• Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019
• Sovah Health Danville Hospital, Danville, VA, CCN 490075

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 29)

Interoperability endpoints

• Direct secure messaging: timothy.pruitt@krogerhealth.eclinicaldirectplus.com

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 Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  NC, Nurse Practitioner, VA

  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of Tennessee PC

  • Hospitalist Physician
  • Lawrenceburg, IN
  • NPI 1528433802

  KY, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Northwest Hospital Medicine Physicians LLC

  • Hospitalist Physician
  • Las Cruces, NM
  • NPI 1972056752

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  AR, MS, Nurse Practitioner, TN

  Medicare reassignment Care Compare group NPD
• Southeastern Intensivist Services PC

  • Hospitalist Physician
  • West Memphis, AR
  • NPI 1912942665

  VA

  Medicare reassignment Care Compare group NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  KY, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Southwest Emergency Medical Associates of NM PC

  • Emergency Medicine Physician
  • Las Cruces, NM
  • NPI 1720505571

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593

  VA

  Medicare reassignment NPD
• Greenbrier Emergency Services, Inc.

  • Emergency Medicine Physician
  • Gassaway, WV
  • NPI 1568401461

  Nurse Practitioner

  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  NC, Nurse Practitioner

  Medicare reassignment NPD
• Southeastern Medical Group, PC

  • Hospitalist Physician
  • Brevard, NC
  • NPI 1184669053

  Nurse Practitioner

  Medicare reassignment NPD
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  Medicare reassignment

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

• Danville Regional Medical Center LLC

  • General Acute Care Hospital
  • Martinsville, VA
  • NPI 1386720183
  Care Compare affiliation
• Danville Regional Medical Center, LLC

  • Rural Acute Care Hospital
  • Danville, VA
  • NPI 1154419737
  Care Compare affiliation
• DLP Twin County Regional Healthcare LLC

  • General Acute Care Hospital
  • Galax, VA
  • NPI 1114292141
  Care Compare affiliation
• DLP Twin County Regional Healthcare LLC

  • Physical Therapy Clinic/Center
  • Galax, VA
  • NPI 1801161369

  Hospital

  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  • Rural Health Clinic/Center
  • Maysville, KY
  • NPI 1821135518

  Hospital

  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  • Rural Acute Care Hospital
  • Maysville, KY
  • NPI 1881785863
  Care Compare affiliation
• PHC-Las Cruces Inc

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  Care Compare affiliation
• Pinelake Regional Hospital LLC

  • Rural Acute Care Hospital
  • Mayfield, KY
  • NPI 1891892741
  Care Compare affiliation

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1295738706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5381 ALLEN RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386329608",
            "telephone_number": "502-810-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-772-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Twin County Regional Healthcare",
            "address_2": "200 Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "24333",
            "country_code": "US",
            "telephone_number": "276-236-8181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7601 Southcrest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "38671",
            "country_code": "US",
            "telephone_number": "662-772-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6225 Humphreys Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202373",
            "country_code": "US",
            "telephone_number": "901-227-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 N 7th St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723012017",
            "country_code": "US",
            "telephone_number": "870-394-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380170601",
            "country_code": "US",
            "telephone_number": "901-861-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2122 Manchester Expy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046878",
            "country_code": "US",
            "telephone_number": "706-596-4000",
            "fax_number": "706-596-4481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN298030",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A001384",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "19099",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN298030",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A001384",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "19099",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "893878",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN298030",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "893878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136263758",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08379272",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priority Health and Consultant LLC
• Privy Health, LLC
• Progressive Physicians Practice
• Sarah Gehring Provence, MS, RD, LDN, CDCES
• Providence Health, PLLC
• Merissa Pryor
• Psycamore LLC
• Psycamore, LLC
• Christopher Matthew Garrett Puls, MD
• Karen Kamillah Purnell, PMHNP

• Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.

Verify at the official NPI Registry.