Alexia Pruitt

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

3528 Issued in SC

Practice address

1530 Parkway
Greenwood, SC 29646-4027

Phone

(864) 330-1833

NPI assigned

Jan 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1508454349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 GILKESON RD",
            "city": "HONEA PATH",
            "state": "SC",
            "postal_code": "296549784",
            "telephone_number": "864-844-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 PARKWAY",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464027",
            "telephone_number": "864-330-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Marshall Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464216",
            "country_code": "US",
            "telephone_number": "864-227-7368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "ALEXIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "3528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Price, PHARMD
• Shawna Fortson Prince
• Thomas M Pritchard, MD
• Providence Foot & Ankle Centers PC
• Provident Health Care LLC
• Lori Pruitt, LPC
• Publix Super Markets Inc
• Kaylee Quattlebaum, PA-C
• Kristine Michele Rabold, PHARMD
• Shawn Radford

• Physical Medicine & Rehabilitation Physician in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.