Lacey Daniel Pruitt

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN230950 Issued in GA

Practice address

3603 Marys View LN
Dacula, GA 30019-1616

Phone

(678) 852-8707

NPI assigned

Nov 4, 2025

Last updated

Nov 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1832/brand/1/csg/1/fhir/r4

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.

• Braselton Pediatrics, LLC

  • Pediatric Nurse Practitioner
  • Hoschton, GA
  • NPI 1174278808
  NPD (past)
• Braselton Pediatrics, PC

  • Medical Specialty Clinic/Center
  • Hoschton, GA
  • NPI 1194974907
  NPD (past)

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1588533764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 MARYS VIEW LN",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191616",
            "telephone_number": "678-852-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 MARYS VIEW LN",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191616",
            "telephone_number": "678-852-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1897 Highway 211 NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hoschton",
            "state": "GA",
            "postal_code": "305483513",
            "country_code": "US",
            "telephone_number": "678-820-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "LACEY",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN230950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Medical Clinic LLC
• Proskills Home Health Care Services
• Prospect Lab Services LLC
• Protherapy Inc
• Gloicie Darlene Pruitt, PT
• Publix Super Markets Inc (Publix Pharmacy #1178)
• Publix Super Markets Inc (Publix Pharmacy #0803)
• Publix Super Markets Inc (Publix Pharmacy #0569)
• Publix Super Markets, Inc. (Publix Pharmacy #1893)
• Brian Alexander Pugh, DMD

• Family Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.