KELLEY PRUITT
NPI 1073174579
Nurse Practitioner - Acute Care in Atlanta, GA

Q: What is Kelley Pruitt's NPI number?

The NPI number for Kelley Pruitt is 1073174579. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Q: What is Kelley Pruitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Pruitt was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 25, 2019PECOS EnrolledAccepts Medicare Assignment

2001 PEACHTREE RD NE STE 575, ATLANTA, GA 30309(404) 350-0106 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelley Pruitt NPPES

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

KELLEY PRUITT (NPI 1073174579) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (188495) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073174579

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKELLEY PRUITT

Location Address2001 PEACHTREE RD NE STE 575Atlanta, GA 30309-1476

Mailing Address781 Courtenay Dr NeAtlanta, GA 30306-3458

Phone(404) 350-0106

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 25, 2019

Last NPPES UpdateSeptember 9, 2020

NPPES CertifiedSeptember 9, 2020

✔ NPI 1073174579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · 188495

2001 PEACHTREE RD NE STE 575, Atlanta, GA 30309

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelley Pruitt 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 ID5193142065

PECOS Enrollment IDI20201007000430

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.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

32 services22 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110083

Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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 13

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

KRIZIA CHINCHILLA CARTIN PA-C

Physician Assistant (Surgical)