Dr Timothy Michael Pruitt, DNP - Medicare Nurse Practitioner in Southaven, MS

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Dr Timothy Michael Pruitt, DNP is a medicare enrolled "Nurse Practitioner" in Southaven, Mississippi. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hospital Medicine Services Of Tennessee Pc, Emergency Coverage Llc, Southeastern Emergency Physicians Llc, Northwest Hospital Medicine Physicians Llc, Southwest Emergency Medical Associates Of Nm Pc, Southeastern Intensivist Services Pc, Emergency Coverage Llc, Southeastern Emergency Physicians Llc, Southeastern Physician Services Pc and his current practice location is 7601 Southcrest Pkwy, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 772-4200.

Dr Timothy Michael Pruitt is licensed to practice in Mississippi (license number 893878) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295738706.

Contact Information

Dr Timothy Michael Pruitt, DNP
7601 Southcrest Pkwy,
Southaven, MS 38671
(662) 772-4200
Not Available

Map and Direction




Provider's Profile

Full NameDr Timothy Michael Pruitt
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location7601 Southcrest Pkwy, Southaven, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Timothy Michael Pruitt graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1295738706
  • Provider Enumeration Date: 05/30/2005
  • Last Update Date: 07/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9931131943
  • Enrollment ID: I20091026000049

Medical Identifiers

Medical identifiers for Dr Timothy Michael Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295738706NPI-NPPES
136263758MedicaidAR
08379272MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN298030 (Georgia)Secondary
363L00000XNurse Practitioner A001384 (Arkansas)Secondary
363L00000XNurse Practitioner 19099 (Tennessee)Secondary
363LA2100XNurse Practitioner - Acute Care RN298030 (Georgia)Secondary
363LA2100XNurse Practitioner - Acute Care A001384 (Arkansas)Secondary
363LA2100XNurse Practitioner - Acute Care 19099 (Tennessee)Secondary
363LA2100XNurse Practitioner - Acute Care 893878 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family RN298030 (Georgia)Secondary
363L00000XNurse Practitioner 893878 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Twin County Regional HospitalGalax, VAHospital
Jackson Purchase Medical CenterMayfield, KYHospital
Meadowview Regional Medical CenterMaysville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Medicine Services Of Tennessee Pc9234432881159
Emergency Coverage Llc3072412592764
Southeastern Emergency Physicians Llc2466364997784
Northwest Hospital Medicine Physicians Llc640680544963
Southwest Emergency Medical Associates Of Nm Pc842632429458
Southeastern Intensivist Services Pc9335152107239
Emergency Coverage Llc3072412592764
Southeastern Emergency Physicians Llc2466364997784
Southeastern Physician Services Pc0042307852608

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Timothy Michael Pruitt allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Services P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669414264
PECOS PAC ID: 6204730195
Enrollment ID: O20031219000755
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150
Entity NameHospital Medicine Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528433802
PECOS PAC ID: 9234432881
Enrollment ID: O20160803001623

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. Dr Timothy Michael Pruitt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Timothy Michael Pruitt, DNP
5381 Allen Rd,
Hernando, MS 38632-9608

Ph: (502) 810-4146		Dr Timothy Michael Pruitt, DNP
7601 Southcrest Pkwy,
Southaven, MS 38671

Ph: (662) 772-4200

Reviews and Comments


Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7111 Southcrest Pkwy Ste 109, Southaven, MS 38671
Phone: 662-503-7416    Fax: 662-349-9082
Ms. Sherlean D Shugars, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2149 Stateline Rd W, Southaven, MS 38671
Phone: 662-342-1112    
Penny Marie Holley, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672
Phone: 662-655-0456    Fax: 662-655-0457
Christopher Gully, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671
Phone: 901-226-0456    Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7545 Airways Blvd, Southaven, MS 38671
Phone: 901-759-3100    
Misty Burton, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 391 Southcrest Cir, Southaven, MS 38671
Phone: 662-349-2659    
Mrs. Karen Kamillah Purnell, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1260 Chestnut Dr, Southaven, MS 38671
Phone: 662-897-8973    

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.