KELLEY PRUITT
NPI 1073174579
Nurse Practitioner - Acute Care in Atlanta, GA
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 maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelley Pruitt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 792 clinicians in this Medicare group
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 689 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 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.
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, GAPhysician 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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30309
ATLANTA, GA 30309
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 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.
Where is Kelley Pruitt located?
Kelley Pruitt practices at 2001 Peachtree Rd NE Ste 575, Atlanta, GA 30309. The listed phone number is (404) 350-0106.
What is Kelley Pruitt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kelley Pruitt enrolled in Medicare?
Yes. Kelley 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 Kelley Pruitt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Pruitt reassigns Medicare benefits to 2 organizations: Piedmont Hospitalist Physicians LLC (Stockbridge, GA) and Piedmont Providers LLC (Jasper, 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 Kelley Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelley Pruitt accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelley 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 Kelley Pruitt affiliated with any hospitals?
According to CMS data, Kelley Pruitt is affiliated with Piedmont Hospital.
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 6 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.
# Kelley Pruitt · NPI 1073174579
Acute Care physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since June 25, 2019.
## Identity
- **NPI:** 1073174579 (Entity type: Individual)
- **Enumerated:** June 25, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 188495 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 PEACHTREE RD NE STE 575, Atlanta, GA 30309-1476
- **Phone:** (404) 350-0106
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Piedmont Hospitalist Physicians LLC (NPI 1548219660, Stockbridge, GA); Piedmont Providers LLC (NPI 1548273592, Jasper, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 9, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1073174579) · Data from the CMS NPPES public registry.