| Mr Michael Frederic Pruitt, PA-C | |
|
3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | |
| (706) 863-9797 | |
| (706) 860-7686 |
| Full Name | Mr Michael Frederic Pruitt |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 17 Years |
| Location | 3650 J Dewey Gray Cir, Augusta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366776866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 1932 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital | Augusta, GA | Hospital |
| University Mcduffie County Regional Medical Center | Thomson, GA | Hospital |
| Aiken Regional Medical Center | Aiken, SC | Hospital |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgialina Physical Therapy Associates Llc | 6002812401 | 451 |
| Augusta Orthopedic And Sports Medicine Specialists, Pc | 8527052463 | 57 |
| Augusta Orthopedic And Sports Medicine Specialists, Pc | 8527052463 | 57 |
| Entity Name | Augusta Orthopedic & Sports Medicine Specialists, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952076382 PECOS PAC ID: 8527052463 Enrollment ID: O20070328000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Frederic Pruitt, PA-C 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 Ph: (706) 836-9797 | Mr Michael Frederic Pruitt, PA-C 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 Ph: (706) 863-9797 |
Rachel Mccall Dawkins, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: Doctors Hospital Of Augusta, 3651 Wheeler Rd., Augusta, GA 30909 Phone: 706-651-6080 | |
Robert G Stowers, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3291 Fax: 706-721-1459 | |
Mrs. Melanie Grace Bowen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2922 Professional Pkwy, Augusta, GA 30907 Phone: 706-556-2767 | |
Andrea N Sarata, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375 | |
Amanda Marie Tyra, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St # Ad-2226, Augusta, GA 30912 Phone: 706-446-4887 Fax: 706-723-0382 | |
Mr. Derek Aaron Lafont, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3696 Wheeler Rd, Augusta, GA 30909 Phone: 706-736-1830 Fax: 706-650-7553 | |
Mr. Larry B Sims Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2467 Golden Camp Rd, Augusta, GA 30906 Phone: 706-790-4440 Fax: 706-790-4393 |