DR. JUSTIN PRUITT DO, MS NPI 1215303367

Family Medicine in Owens Cross Roads, AL

NPI 1215303367 Individual Male Years of Experience 7 Family Medicine PECOS Enrolled May Accept Medicare Approved Payment

About JUSTIN PRUITT

Justin Pruitt is a primary care provider established in Owens Cross Roads, Alabama and his medical specialization is family medicine with more than 7 years of experience. He graduated from Lincoln Memorial University Medical Department in 2015. The NPI number of Justin Pruitt is 1215303367 and was assigned on August 2015. The practitioner's primary taxonomy code is 207Q00000X with license number DO.1694 (AL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

A primary care provider (PCP) like Dr. Justin Pruitt Do, Ms sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Justin Pruitt is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Justin Pruitt is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with Huntsville Hospital, Crestwood Medical Center and Highlands Medical Center.

NPI

1215303367

Provider NameDR. JUSTIN PRUITT DO, MS
Provider Location Address6388B HIGHWAY 431 S STE 2 OWENS CROSS ROADS, AL 35763
Provider Mailing Address5575 HIGHWAY 431 S STE 104 BROWNSBORO, AL 35741
GenderMale
NPI Entity TypeIndividual
Medical School NameLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year2015
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-12-2015
Last Update Date06-10-2020


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.DO.1694
License StateAL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. JUSTIN PRUITT DO, MS
6388B HIGHWAY 431 S STE 2
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 469-6487

Get Directions


Mailing Address

DR. JUSTIN PRUITT DO, MS
5575 HIGHWAY 431 S
STE 104
BROWNSBORO, AL
ZIP 35741
Phone: (256) 469-6487



Secondary Locations

625 19th St S
Birmingham, AL 35233
(256) 551-4433

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1850646589
PECOS Enrollment IDI20180620001149
Accepts Medicare Assignment? Maybe "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Justin Pruitt is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HUNTSVILLE HOSPITAL101 SIVLEY RD
HUNTSVILLE, AL 35801
(256) 265-1000Acute Care Hospitals10039
CRESTWOOD MEDICAL CENTERONE HOSPITAL DR SE
HUNTSVILLE, AL 35801
(256) 882-3100Acute Care Hospitals10131
HIGHLANDS MEDICAL CENTER380 WOODS COVE ROAD
SCOTTSBORO, AL 35768
(256) 259-4444Acute Care Hospitals10061

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558859157FLINT RIVER FAMILY MEDICINE, P.C.
Organization
Clinic/Center (Primary Care)6388B HIGHWAY 431 S STE 2
OWENS CROSS ROADS, AL 35763
(256) 490-7592

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.