NPIMap

Individual provider Active NPI

Rachel Click Pruitt, DO

  • Family Medicine Physician
  • Easley, SC
National Provider Identifier
1992089841
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36609 Issued in SC
Practice address
10701 Anderson Rd
Easley, SC 29642-9309
Phone
(864) 295-2500
Fax
(864) 295-2506
NPI assigned
Oct 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TL36609 SC
Family Medicine Physician 207Q00000X 36609 SC Primary

Addresses

Primary practice location

10701 Anderson Rd
Easley, SC 29642-9309

Mailing address

PO Box 743294
Atlanta, GA 30374-3294
Phone (864) 859-2220

Other practice location 1

106 John St
Easley, SC 29640-1415
Phone (864) 855-6228

Other identifiers 1

IdentifierTypeStateIssuer
366099MedicaidSC

Other names 1

  • Rachel Elizabeth Click Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20140724000633 SC Practitioner - Family Practice 0547496952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians

Practice addresses (Care Compare)

10701 Anderson Rd
Easley, SC 29642-9309
Phone (864) 295-2500

Hospital & facility affiliations

  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Prisma Health North Greenville Ltach Long-term care hospital, Travelers Rest, SC, CCN 422008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
36609SCMDPharmacist
TL36609SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Services Inc Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
St Francis Physician Services Inc Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine CurrentSince Dec 5, 2016 Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine CurrentSince Dec 5, 2016 Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients

Locations

10701 Anderson Rd
Easley, SC 29642
Phone (864) 295-2500

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

805 W Wade Hampton Blvd
Ste C
Greer, SC 29650
Phone (864) 655-6615

406 N Poinsett Hwy
Travelers Rst, SC 29690
Phone (864) 834-4151

Interoperability endpoints

  • Direct secure messaging: rpruitt1154832@direct.bsmhealth.org

Organizations & group practices 7

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 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1992089841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743294",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743294",
            "telephone_number": "864-859-2220",
            "fax_number": "864-859-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 ANDERSON RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296429309",
            "telephone_number": "864-295-2500",
            "fax_number": "864-295-2506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 John St",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296401415",
            "country_code": "US",
            "telephone_number": "864-855-6228",
            "fax_number": "864-859-5744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "RACHEL",
        "middle_name": "CLICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "TL36609",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "36609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366099",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "CLICK",
            "middle_name": "ELIZABETH",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.