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SAMANTHA PRUITT PMHNP-BC, FNP-BC
NPI 1053876391
Nurse Practitioner - Psychiatric/Mental Health in Woodstock, GA

Active since January 31, 2019PECOS Enrolled
228 CREEKSTONE RDG, WOODSTOCK, GA 30188(404) 421-2089 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2024, Dec 13, 2023, Dec 2, 2020 and 1 more (4 updates tracked since 2019).

About Samantha Pruitt Pmhnp-bc, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA PRUITT PMHNP-BC, FNP-BC (NPI 1053876391) is an individual psychiatric/mental health provider in Woodstock, Georgia, licensed in Georgia (RN257993) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053876391
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA PRUITTCredential: PMHNP-BC, FNP-BC
Location Address228 CREEKSTONE RDGWoodstock, GA 30188-3732
Mailing Address228 Creekstone RdgWoodstock, GA 30188-3732 · (404) 421-2089
Phone(404) 421-2089
Sole ProprietorNo
Enumeration DateJanuary 31, 2019
Last NPPES UpdateMay 9, 20244 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1053876391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN257993
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN257993 (GA)
228 CREEKSTONE RDG, Woodstock, GA 30188
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Pruitt Pmhnp-bc, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZEN HOLISTIC HEALTH CENTER
Chiropractor
228 CREEKSTONE RDG
WOODSTOCK, GA 30188
Cherokee County (770) 926-0171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Pruitt's NPI number?

The NPI number for Samantha Pruitt is 1053876391. It was assigned to this individual provider in the NPPES registry on January 31, 2019.

Where is Samantha Pruitt located?

Samantha Pruitt practices at 228 Creekstone Rdg, Woodstock, GA 30188. The listed phone number is (404) 421-2089.

What is Samantha Pruitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha Pruitt enrolled in Medicare?

Yes. Samantha Pruitt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Pruitt was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.