DON L PRUITT M.D. PROF.CORP.
NPI 1194808253
General Practice in Suches, GA

Active since October 23, 2006PECOS Enrolled
56 FIREWATER LN, SUCHES, GA 30572(706) 747-1421(706) 747-1423 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Don L Pruitt M.d. Prof.corp. NPPES

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

DON L PRUITT M.D. PROF.CORP. (NPI 1194808253) is an individual general practice provider in Suches, Georgia, licensed in Georgia (019982) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194808253
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDON L PRUITTCredential: M.D. PROF.CORP.
Location Address56 FIREWATER LNSuches, GA 30572-2941
Mailing AddressPo Box 59Suches, GA 30572-0059 · (706) 747-1421 · Fax (706) 747-1423
Fax(706) 747-1423
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateSeptember 30, 2013
NPI 1194808253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in GA · 019982
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
56 FIREWATER LN, Suches, GA 30572

Other Identifiers 3

Medicare UPIND30520GA
Medicaid000192255FGA
Medicare ID-Type Unspecified08BBSBKGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Don L Pruitt M.d. Prof.corp. 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.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Federally Qualified Health Center (FQHC))
56 FIREWATER LN
SUCHES, GA 30572
Family Medicine
56 FIREWATER LN
SUCHES, GA 30572

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 Don Pruitt's NPI number?

The NPI number for Don Pruitt is 1194808253. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Don Pruitt located?

Don Pruitt practices at 56 Firewater Ln, Suches, GA 30572. The listed phone number is (706) 747-1421.

What is Don Pruitt's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Don Pruitt enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Don Pruitt was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.