Justin Price Pruitt (NPI# 1215303367, PAC ID# 1850646589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215303367 |
| PAC ID by PECOS | 1850646589 |
| Professional Enrollment ID | I20180620001149 |
| Full Name | Justin Price Pruitt |
| Address |
6388b Hwy 431 S Suite 2 Owens Cross Roads AL 35763-9298 |
| Gender | M |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010039 | HUNTSVILLE HOSPITAL |
| 010131 | CRESTWOOD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6388b Hwy 431 S, Suite 2, Owens Cross Roads, AL 35763-9298 |
| Street Address |
6388B HWY 431 S SUITE 2 |
| City | OWENS CROSS ROADS |
| State | AL |
| Zip | 35763-9298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colee Tucker Hill | Nurse Practitioner | American Family Care Inc | 410 Sutton Rd, Huntsville, AL 35763-5710 |
| Jill Shelby | Nurse Practitioner | American Family Care Inc | 410 Sutton Rd, Huntsville, AL 35763-5710 |
| Bobbie Bode | Nurse Practitioner | American Family Care Inc | 410 Sutton Rd, Huntsville, AL 35763-5710 |
| James C Staup Iii | Optometry | South East Eyecare | 6838 Hwy 431 S, Suite A, Owens Crossroads, AL 35763-7201 |
| Dewanna K Staup | Optometry | South East Eyecare | 6838 Hwy 431 S, Suite A, Owens Crossroads, AL 35763-7201 |
| Kandess Johnson Anderson | Nurse Practitioner | Huntsville Hospital Medical Clinic At Hampton Cove | 262 Sutton Serd, Owens Cross Roads, AL 35763-8753 |
| Rakhshanda A Khan | Family Medicine | Huntsville Hospital Medical Clinic At Hampton Cove | 262 Sutton Serd, Owens Cross Roads, AL 35763-8753 |
| James M Morrison | Family Medicine | Huntsville Hospital Medical Clinic At Hampton Cove | 262 Sutton Serd, Owens Cross Roads, AL 35763-8753 |
| Briana G Woodfin | Nurse Practitioner | Huntsville Hospital Medical Clinic At Hampton Cove | 262 Sutton Serd, Owens Cross Roads, AL 35763-8753 |
| Prasanna Allada | Family Medicine | Huntsville Hospital Medical Clinic At Hampton Cove | 262 Sutton Serd, Owens Cross Roads, AL 35763-8753 |
| Find all physicians in zip 35763 | |||
| City | OWENS CROSS ROADS |
| Zip Code | 35763 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OWENS CROSS ROADS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Justin Price Pruitt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.