1. Home
  2. Directory
  3. Georgia
  4. Dacula
  5. Nurse Practitioner
  6. NPI Profile

LACEY DANIEL PRUITT
NPI 1588533764
Nurse Practitioner - Family in Dacula, GA

Active since November 04, 2025
3603 MARYS VIEW LN, DACULA, GA 30019(678) 852-8707 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacey Daniel Pruitt NPPES

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

LACEY DANIEL PRUITT (NPI 1588533764) is an individual family provider in Dacula, Georgia, licensed in Georgia (RN230950) and active in the NPI registry since November 2025. She maintains a secondary practice location in Hoschton.

NPPES Registry Identity

NPI1588533764
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACEY DANIEL PRUITT
Location Address3603 MARYS VIEW LNDacula, GA 30019-1616
Mailing Address3603 Marys View LnDacula, GA 30019-1616 · (678) 852-8707
Phone(678) 852-8707
Sole ProprietorNo
Enumeration DateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1588533764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN230950
3603 MARYS VIEW LN, Dacula, GA 30019
Open in Google Maps ↗

Secondary Practice Location 1

Location 11897 Highway 211 NW Ste 100Hoschton, GA 30548-3513 · Phone (678) 820-7979

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 Lacey Pruitt's NPI number?

The NPI number for Lacey Pruitt is 1588533764. It was assigned to this individual provider in the NPPES registry on November 4, 2025.

Where is Lacey Pruitt located?

Lacey Pruitt practices at 3603 Marys View Ln, Dacula, GA 30019. The listed phone number is (678) 852-8707.

What is Lacey Pruitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lacey Pruitt was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.