Individual provider Active NPI

John Thomas Pruett

  • Clinical Social Worker
  • Bryson City, NC
National Provider Identifier
1518495753
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P011526 Issued in NC
Practice address
100 Teptal Ter
Bryson City, NC 28713-5479
Phone
(828) 488-3294
NPI assigned
Jun 1, 2017
Last updated
Jun 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P011526 NC Primary

Addresses

Primary practice location

100 Teptal Ter
Bryson City, NC 28713-5479

Mailing address

PO Box 444
Murphy, NC 28906-0444
Phone (828) 837-0071

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910001815 NC Practitioner - Clinical Social Worker 2365771722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
East Tennessee State University Quillen College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NCG Acquisition, LLCGroup PAC ID 1850657446, 8 clinicians

Practice addresses (Care Compare)

100 Thomas Heights Rd
Suite 206
Franklin, NC 28734-9799
Phone (828) 837-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P011526NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NCG Acquisition, LLC CurrentSince Jul 6, 2019 Accepting new patients

Locations

100 Teptal Ter
Bryson City, NC 28713
Phone (828) 488-3294

100 Thomas Heights Rd
Franklin, NC 28734
Phone (828) 524-4435

100 Thomas Heights Rd
Ste 206
Franklin, NC 28734
Phone (828) 524-9385

120 View Pointe Dr
Murphy, NC 28906

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1518495753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289060444",
            "telephone_number": "828-837-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TEPTAL TER",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287135479",
            "telephone_number": "828-488-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryson City, NC

Sources for this page

Verify at the official NPI Registry.