BARBARA L PRUITT APRN, FNP-C
NPI 1063752012
Nurse Practitioner - Family in Watkinsville, GA

Active since February 27, 2013PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1021 JAMESTOWN BLVD STE 215, WATKINSVILLE, GA 30677(706) 389-2273(706) 389-2298 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 25, 2022, Jun 29, 2021, Nov 7, 2019 (3 updates tracked since 2019).

About Barbara L Pruitt Aprn, Fnp-c NPPES

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

BARBARA L PRUITT APRN, FNP-C (NPI 1063752012) is an individual family provider in Watkinsville, Georgia, licensed in Georgia (RN151379) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains a secondary practice location in Acworth.

NPPES Registry Identity

NPI1063752012
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBARBARA L PRUITTCredential: APRN, FNP-C
Location Address1021 JAMESTOWN BLVD STE 215Watkinsville, GA 30677
Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3740 · Fax (706) 389-3951
Fax(706) 389-2298
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 27, 2013
Last NPPES UpdateOctober 25, 20223 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1063752012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN151379
1021 JAMESTOWN BLVD STE 215, Watkinsville, GA 30677

Secondary Practice Location 1

Location 14900 Ivey Rd NW Bldg 1000, Suite 1025Acworth, GA 30101 · Phone (770) 917-9557 · Fax (770) 917-9558

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Barbara L Pruitt Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294973616
PECOS Enrollment IDI20130524000212
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Barbara Pruitt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1020 JAMESTOWN BLVD BLDG 200
Watkinsville, GA 30677
  • Reassigned Medicare billing, Georgia enrollment
  • 114 clinicians in this Medicare group
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
117 services71 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
89 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
44 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Elbert Memorial Hospital

Critical Access Hospitals · Elberton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111337
Location4 Medical DriveElberton, GA 30635 · Elbert County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30677 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Adult Health)
1021 JAMESTOWN BLVD STE 215
WATKINSVILLE, GA 30677
Nurse Practitioner (Family)
1021 JAMESTOWN BLVD STE 215
WATKINSVILLE, GA 30677
Nurse Practitioner
1021 JAMESTOWN BLVD STE 215
WATKINSVILLE, GA 30677
Nurse Practitioner (Adult Health)
1021 JAMESTOWN BLVD STE 215
WATKINSVILLE, GA 30677
Social Worker (Clinical)
1021 JAMESTOWN BLVD STE 215
WATKINSVILLE, GA 30677
Nurse Practitioner (Family)
1021 JAMESTOWN BLVD STE 215
WATKINSVILLE, GA 30677

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 Barbara Pruitt's NPI number?

The NPI number for Barbara Pruitt is 1063752012. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Barbara Pruitt located?

Barbara Pruitt practices at 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677. The listed phone number is (706) 389-2273.

What is Barbara Pruitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Barbara Pruitt enrolled in Medicare?

Yes. Barbara Pruitt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Barbara Pruitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Pruitt reassigns Medicare benefits to 2 organizations: St. Mary's Medical Group, Inc. (Watkinsville, GA) and Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Barbara Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Pruitt accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Barbara Pruitt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Barbara Pruitt affiliated with any hospitals?

According to CMS data, Barbara Pruitt is affiliated with St Mary's Hospital and Elbert Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Barbara Pruitt was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.