Russell Franklin Pruitt, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

041931 Issued in GA

Practice address

4900 Ivey Rd NW BLDG 1000
Suite 1025
Acworth, GA 30101-4001

Phone

(770) 917-9557

Fax

(770) 917-9558

NPI assigned

Oct 18, 2006

Last updated

Mar 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Colorectal Surgery (Proctology)

Education

Emory University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians

Elbert Memorial HospitalGroup PAC ID 6800889841, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
• Elbert Memorial Hospital Hospital, Elberton, GA, CCN 111337

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: russell.pruitt.1@13373.direct.athenahealth.com
• Direct secure messaging: russell.pruitt.1@14936.direct.athenahealth.com

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.

• Elbert Memorial Hospital

  dba Lake Russell Specialty Healthcare Services

  • Obstetrics & Gynecology Physician
  • Elberton, GA
  • NPI 1124488291

  Surgery

  Medicare reassignment Care Compare group NPD
• Piedmont Athens Hospitalist Physicians LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1578079000
  Medicare reassignment Care Compare group NPD
• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  Medicare reassignment NPD
• Piedmont Healthcare Inc

  • Cardiovascular Disease Physician
  • Stockbridge, GA
  • NPI 1376624940
  Medicare reassignment NPD
• Piedmont Providers LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1548273592
  Medicare reassignment NPD
• Stephens County Hospital Authority

  • Rural Acute Care Hospital
  • Toccoa, GA
  • NPI 1033191267
  Medicare reassignment NPD
• Stephens County Hospital Physician Group LLC

  • Internal Medicine Physician
  • Toccoa, GA
  • NPI 1659761955

  Surgery

  Medicare reassignment NPD
• Tift Regional Health System Inc

  dba Southwell Mobile Clinic

  • Family Medicine Physician
  • Tifton, GA
  • NPI 1881203305
  Medicare reassignment NPD
• Elbert Memorial Hospital

  dba Hartwell Family Clinic - Elbert Memorial Hospital

  • Rural Health Clinic/Center
  • Hartwell, GA
  • NPI 1770322117
  NPD
• Stephens County Hospital Authority

  dba Stephens County Hospital Pharmacy

  • Community/Retail Pharmacy
  • Toccoa, GA
  • NPI 1760251367
  NPD
• Stephens County Hospital Physician Group, LLC

  • Student in an Organized Health Care Education/Training Program
  • Toccoa, GA
  • NPI 1073494795
  NPD
• Stephens County Hospital Physician Group, LLC

  dba SCHPG-Primary Care

  • Rural Health Clinic/Center
  • Toccoa, GA
  • NPI 1649853862
  NPD

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

• Elbert Memorial Hospital

  • Critical Access Hospital
  • Elberton, GA
  • NPI 1669488250
  Care Compare affiliation
• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111
  Care Compare affiliation

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1992886667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 IVEY RD NW BLDG 1000",
            "address_2": "SUITE 1025",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014001",
            "telephone_number": "770-917-9557",
            "fax_number": "770-917-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 IVEY RD NW BLDG 1000",
            "address_2": "SUITE 1025",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014001",
            "telephone_number": "770-917-9557",
            "fax_number": "770-917-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "RUSSELL",
        "middle_name": "FRANKLIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "041931",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "041931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procare Eye Center
• Prodiagnostics Medical Center
• Prodiagnostics Medical Center
• Professional Dental Alliance of Georgia, LLC
• Lori Ann Pruitt, OTR/L
• Teri Pruitt, NP
• Psychiatry and Wellness of Georgia, LLC
• Kristie Elizabeth Pszczola, D.C.
• PT Solutions of Acworth, LLC
• Publix Super Markets Inc (Publix Pharmacy #0593)

• Surgery Physician in Acworth, GA
• Providers in Acworth, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.