Amanda F. Pruitt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1305 Issued in SC

Practice address

905 Verdae Blvd Ste 101
Greenville, SC 29607-4097

Phone

(864) 286-7550

Fax

(864) 286-7551

NPI assigned

May 16, 2006

Last updated

May 13, 2021By 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 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Emergency Medicine

  • Emergency Medicine Physician
  • Spartanburg, SC
  • NPI 1699729939
  Medicare reassignment NPD
• Pelham Medical Center

  dba Medical Group of the Carolinas - Emergency Medicine - Pelham

  • Emergency Medicine Physician
  • Greer, SC
  • NPI 1619133568
  Medicare reassignment
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment
• Pelham Medical Center

  dba Medical Group of the Carolinas - Inpatient Medicine - Pelham

  • Internal Medicine Physician
  • Greer, SC
  • NPI 1245496983
  NPD
• Pelham Medical Center

  dba PMC Center for Urology Pelham

  • Pain Medicine Physician
  • Greer, SC
  • NPI 1942960844
  NPD
• Prisma Health University Medical Group

  dba Parkside OB-GYN

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD
• Prisma Health University Medical Group

  dba University Medical Group/Mobile Health Clinic

  • Nurse Practitioner
  • Greenville, SC
  • NPI 1053786483
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas Pain Management Wood Street

  • Physical Medicine & Rehabilitation Physician
  • Spartanburg, SC
  • NPI 1942188875
  NPD
• Doctors Care, PA

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1366499048
  NPD (past)
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Piedmont Women's Healthcare

  • Obstetrics & Gynecology Physician
  • Spartanburg, SC
  • NPI 1376580852
  NPD (past)
• Village Hospital

  dba Village Maternity Services

  • Critical Care Neonatal Nurse Practitioner
  • Greer, SC
  • NPI 1326288051
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1689626012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 VERDAE BLVD STE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074097",
            "telephone_number": "864-286-7550",
            "fax_number": "864-286-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "AMANDA",
        "middle_name": "F.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103755",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apruitt36857@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "apruitt36857@direct-srhs.et0939.epichosted.com",
            "address_1": "1025 Verdae Blvd",
            "address_2": "Suite B",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296074032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apruitt166148@direct.ghs.myhfn.org",
            "affiliation": "N",
            "address_1": "905 Verdae Blvd Ste 101",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296074097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apruitt166148@direct.ghs.myhfn.org",
            "affiliation": "N",
            "address_1": "905 Verdae Blvd Ste 101",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296074097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Provided Care in Home Services, LLC.
• Provided Care in-Home Services LLC
• Providence Home Care LLC
• Provident Ear Nose and Throat LLC
• Jusiah Prowell, MS
• Erin Edwards Pruitt, D.M.D.
• Latasha Pruitt, DNP, FNP-BC
• Mark Cleveland Pruitt, MD
• Nicole Bate Pruitt, DMD
• Pruitthealth Home Health, Inc. (PruittHealth Home Health - Greenville)

• Physician Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.