Lisa Pruitt, RN, IBCLC - Registered Nurse in Jonesboro, GA

Lisa Pruitt, RN, IBCLC is a Registered Nurse based in Jonesboro, Georgia. Lisa Pruitt is licensed to practice in Georgia (license number RN141119) and her current practice location is 2400 Mount Zion Pkwy, Jonesboro, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 603-3671.

NPI number for Lisa Pruitt is 1740712454 and her current mailing address is 5557 Platte Dr, Ellenwood, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740712454.

Contact Information

Lisa Pruitt, RN, IBCLC
2400 Mount Zion Pkwy,
Jonesboro, GA 30236-2500
(770) 603-3671
Not Available

Map and Direction




Provider's Profile

Full NameLisa Pruitt
GenderFemale
SpecialityRegistered Nurse
Location2400 Mount Zion Pkwy, Jonesboro, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740712454
  • Provider Enumeration Date: 03/31/2017
  • Last Update Date: 03/31/2017

Medical Identifiers

Medical identifiers for Lisa Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740712454NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN141119 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Pruitt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Pruitt, RN, IBCLC
5557 Platte Dr,
Ellenwood, GA 30294-6657

Ph: (404) 610-7010
Lisa Pruitt, RN, IBCLC
2400 Mount Zion Pkwy,
Jonesboro, GA 30236-2500

Ph: (770) 603-3671

Reviews and Comments


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Caroline Charleston, REGISTERED NURSE BSN
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Mrs. Simone Keinia Sharp-bucknor, RN
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Medicare: Not Enrolled in Medicare
Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236
Phone: 470-303-4249    Fax: 770-603-3675
Ms. Barbara R. Clark, APRN FNP-BC
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Medicare: Medicare Enrolled
Practice Location: 962 Forest Gln, Jonesboro, GA 30238
Phone: 770-231-8568    Fax: 678-489-2348

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.