AMANDA F. PRUITT PA-C
NPI 1689626012
Physician Assistant in Greenville, SC

Q: What is Amanda Pruitt's NPI number?

The NPI number for Amanda Pruitt is 1689626012. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Amanda Pruitt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Pruitt was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 16, 2006PECOS Enrolled

905 VERDAE BLVD STE 101, GREENVILLE, SC 29607(864) 286-7550(864) 286-7551 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2021, Dec 3, 2020, Mar 21, 2017 and 2 more (5 updates tracked since 2016).

On this page

About Amanda F. Pruitt Pa-c NPPES

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

AMANDA F. PRUITT PA-C (NPI 1689626012) is an individual physician assistant in Greenville, South Carolina, licensed in South Carolina (1305) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689626012

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA F. PRUITTCredential: PA-C

Location Address905 VERDAE BLVD STE 101Greenville, SC 29607-4097

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8614

Phone(864) 286-7550

Fax(864) 286-7551

Sole ProprietorNo

Enumeration DateMay 16, 2006

Last NPPES UpdateMay 13, 20215 updates tracked since enumeration

NPPES CertifiedMay 13, 2021

✔ NPI 1689626012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in SC · 1305✔ Licensed in NC · 103755

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.

905 VERDAE BLVD STE 101, Greenville, SC 29607

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, UnitedHealthcare.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)

Amanda F. Pruitt Pa-c 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 29607 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

CHELSEA MARIE MEHARRY BURGIN MD

Family Medicine