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MADELINE PRUITT
NPI 1245957224
Physician Assistant in Atlanta, GA

Active since October 20, 2022PECOS EnrolledAccepts Medicare Assignment
1488 BROOK VALLEY LN NE, ATLANTA, GA 30324(812) 629-6321 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madeline Pruitt NPPES

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

MADELINE PRUITT (NPI 1245957224) is an individual physician assistant in Atlanta, Georgia and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245957224
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELINE PRUITT
Location Address1488 BROOK VALLEY LN NEAtlanta, GA 30324-3264
Mailing Address1488 Brook Valley Ln NeAtlanta, GA 30324-3264 · (812) 629-6321
Phone(812) 629-6321
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
✔ NPI 1245957224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1488 BROOK VALLEY LN NE, Atlanta, GA 30324
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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

Madeline 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 ID8224566989
PECOS Enrollment IDI20250108001866
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.

Hospital Affiliations CMS Care Compare

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30324 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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

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

ALEXANDRA KRUGER
Physician Assistant
1488 BROOK VALLEY LN NE
ATLANTA, GA 30324
Fulton County (715) 817-6961

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 Madeline Pruitt's NPI number?

The NPI number for Madeline Pruitt is 1245957224. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Madeline Pruitt located?

Madeline Pruitt practices at 1488 Brook Valley Ln NE, Atlanta, GA 30324. The listed phone number is (812) 629-6321.

What is Madeline Pruitt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madeline Pruitt enrolled in Medicare?

Yes. Madeline 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.

What insurance does Madeline Pruitt accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Madeline 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 Madeline Pruitt affiliated with any hospitals?

According to CMS data, Madeline Pruitt is affiliated with Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Madeline Pruitt was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.