DR. TIMOTHY MICHAEL PRUITT DNP
NPI 1295738706
Nurse Practitioner in Southaven, MS

Q: What is Timothy Pruitt's NPI number?

The NPI number for Timothy Pruitt is 1295738706. It was assigned to this individual provider in the NPPES registry on May 30, 2005.

Q: What is Timothy Pruitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Pruitt was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 May 30, 2005PECOS EnrolledAccepts Medicare Assignment

7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671(662) 772-4200 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2025, May 12, 2022, Jan 18, 2019 (3 updates tracked since 2019).

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About Dr. Timothy Michael Pruitt Dnp NPPES

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

DR. TIMOTHY MICHAEL PRUITT DNP (NPI 1295738706) is an individual nurse practitioner in Southaven, Mississippi, licensed in Mississippi (893878) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Meadowview Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1295738706

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDR. TIMOTHY MICHAEL PRUITTCredential: DNP

Location Address7601 SOUTHCREST PKWYSouthaven, MS 38671

Mailing Address5381 Allen RdHernando, MS 38632-9608 · (502) 810-4146

Phone(662) 772-4200

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 30, 2005

Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1295738706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in MS · 893878✔ Licensed in GA · RN298030✔ Licensed in AR · A001384✔ Licensed in TN · 19099

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN298030 (GA), A001384 (AR), 19099 (TN), 893878 (MS)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN298030 (GA)

7601 SOUTHCREST PKWY, Southaven, MS 38671

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Other Identifiers 2

Medicaid136263758AR

Medicaid08379272MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Dr. Timothy Michael Pruitt Dnp 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 ID9931131943

PECOS Enrollment IDI20050912000344, I20091026000049, I20130531000168, I20201104000925, I20250128003091, I20250225001187

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

44 services44 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

41 services41 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

26 services26 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Meadowview Regional Medical Center

Acute Care Hospitals · Maysville, KY

5/5 CMS rating

OwnershipProprietary

CMS Certification Number180019

Location989 Medical Park DriveMaysville, KY 41056 · Mason County

Emergency services Birthing friendly

Jackson Purchase Medical Center

Acute Care Hospitals · Mayfield, KY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180116

Location1099 Medical Center CircleMayfield, KY 42066 · Graves County

Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320018

Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County

Emergency services Birthing friendly

Sovah Health Danville

Acute Care Hospitals · Danville, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490075

Location142 South Main StreetDanville, VA 24541 · Danville City County

Emergency services Birthing friendly

Twin County Regional Hospital

Acute Care Hospitals · Galax, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490115

Location200 Hospital DriveGalax, VA 24333 · Galax City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$15.76 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$67.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MID-SOUTH ANESTHESIA CONSULTANTS, PLLC

Specialist