NPIMap

Individual provider Active NPI

Joshua David Pruett

  • Medical Physician Assistant
  • Raleigh, NC
National Provider Identifier
1750120168
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-15132 Issued in NC
Practice address
10207 Cerny St # 312B
Raleigh, NC 27617-4879
Phone
(919) 660-8346
NPI assigned
May 23, 2024
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-15132 NC Primary

Addresses

Primary practice location

10207 Cerny St # 312B
Raleigh, NC 27617-4879

Mailing address

10207 Cerny St # 312B
Raleigh, NC 27617-4879
Phone (919) 660-8346

Other practice location 1

33 Lake Dr Apt G5
Laurel Park, NC 28739-4693
Phone (828) 280-3779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250907000181 NC Practitioner - Physician Assistant 9335641554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

10207 Cerny St
Raleigh, NC 27617-4887
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Aug 14, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 14, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 14, 2025 Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

10207 Cerny St
Ste 312
Raleigh, NC 27617
Phone (919) 660-8346

Interoperability endpoints

  • Direct secure messaging: jpruett659953@direct.medicine.duke.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1750120168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10207 CERNY ST # 312B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174879",
            "telephone_number": "919-660-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10207 CERNY ST # 312B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174879",
            "telephone_number": "919-660-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Lake Dr Apt G5",
            "address_purpose": "LOCATION",
            "city": "Laurel Park",
            "state": "NC",
            "postal_code": "287394693",
            "country_code": "US",
            "telephone_number": "828-280-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-23",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-15132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.