DR. MICHAEL EDWARD PRUETT DMD
NPI 1669427837
Dentist - General Practice in Augusta, GA

Q: What is Michael Pruett's NPI number?

The NPI number for Michael Pruett is 1669427837. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Michael Pruett's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Michael Pruett was last updated on April 13, 2023. 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.

Active since May 24, 2006PECOS Enrolled

1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912(706) 721-4025(706) 723-0266 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2023, Mar 3, 2021 (2 updates tracked since 2021).

On this page

About Dr. Michael Edward Pruett Dmd NPPES

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

DR. MICHAEL EDWARD PRUETT DMD (NPI 1669427837) is an individual general practice provider in Augusta, Georgia, licensed in Georgia (DN011110) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669427837

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL EDWARD PRUETTCredential: DMD

Location Address1430 JOHN WESLEY GILBERT DRIVEAugusta, GA 30912-0001

Mailing Address1430 John Wesley Gilbert Drive Gc-1012Augusta, GA 30912-0001 · (706) 721-7913 · Fax (706) 723-0266

Phone(706) 721-4025

Fax(706) 723-0266

Sole ProprietorNo

Enumeration DateMay 24, 2006

Last NPPES UpdateApril 13, 20232 updates tracked since enumeration

NPPES CertifiedApril 13, 2023

✔ NPI 1669427837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in GA · DN011110✔ Licensed in GA · DNCS000131

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1430 JOHN WESLEY GILBERT DRIVE, Augusta, GA 30912

Open in Google Maps ↗

Other Identifiers 2

MedicaidZG1110SC

Medicaid00812523CGA

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 (PECOS)

Dr. Michael Edward Pruett Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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 20

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

DR. GEOFFREY ALLEN THOMPSON DDS, MS

Dentist (Prosthodontics)