Individual provider Active NPI

Kathryn Claire Pruitt, APN

  • Family Nurse Practitioner
  • Byhalia, MS
National Provider Identifier
1679577555
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
895684 Issued in MS
Practice address
111 Chase St
Byhalia, MS 38611
Phone
(502) 810-4164
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19930 TN
Family Nurse Practitioner 363LF0000X 895684 MS Primary

Addresses

Primary practice location

111 Chase St
Byhalia, MS 38611

Mailing address

8820 Turkey Creek Dr
Olive Branch, MS 38654-8096
Phone (502) 810-4164

Other practice location 1

232 Market St
Flowood, MS 39232-3339
Phone (337) 991-9276

Other practice location 2

1315 Highway 4 E
Holly Springs, MS 38635-2112
Phone (502) 810-4164

Other practice location 3

6027 Walnut Grove Rd
Memphis, TN 38120-2145
Phone (901) 226-2800

Other practice location 4

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 226-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160908002504 MS Practitioner - Nurse Practitioner 1759313760 Reassigns benefits to 1 organization
I20190312003224 TN Practitioner - Nurse Practitioner 1759313760 Reassigns benefits to 1 organization
Practice locations: Collierville, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Baptist Blvd
Columbus, MS 39705-2006

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Sep 5, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Sep 5, 2023 Accepting new patients
Soar Physical Therapy, Inc Past Accepting new patients
Dr B. E. Holmes PA Past Accepting new patients
Sherwood Urgent Care Past Accepting new patients
TLCS, P.C. Family Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

Interoperability endpoints

  • Direct secure messaging: kpruitt88441@direct.bmhcc.org
  • Direct secure messaging: kpruitt598350@direct.bmhcc.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1679577555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 TURKEY CREEK DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548096",
            "telephone_number": "502-810-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHASE ST",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "38611",
            "telephone_number": "502-810-4164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 Market St",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392323339",
            "country_code": "US",
            "telephone_number": "337-991-9276",
            "fax_number": "337-943-0846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Highway 4 E",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "MS",
            "postal_code": "386352112",
            "country_code": "US",
            "telephone_number": "502-810-4164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6027 Walnut Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202145",
            "country_code": "US",
            "telephone_number": "901-226-2800",
            "fax_number": "901-226-2802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7601 Southcrest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714739",
            "country_code": "US",
            "telephone_number": "901-226-2800",
            "fax_number": "901-226-2802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "KATHRYN",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19930",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "895684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byhalia, MS

Sources for this page

Verify at the official NPI Registry.