DR. JUSTIN PRUITT (DO, MS) – Family Medicine Physician, NPI 1215303367

DR. JUSTIN PRUITT (DO, MS) is a healthcare provider. based in Birmingham, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials DO, MS. They hold a License No. DO.1694 (AL). The NPI Number for DR. JUSTIN PRUITT (DO, MS) is 1215303367

Main info

Male
11 Years Of Experience
Name
DR. JUSTIN PRUITT (DO, MS)
NPI
1215303367
Phone
(256) 551-4433
Address
625 19th St S
Enumeration Date
12 August 2015
Last Update Date
8 April 2024

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
2564696487
Graduation Year
2015 (11 years ago)
PAC ID
1850646589
Professional Enrollment ID
I20180620001149
Address ID
AL357419755BR5575XSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

Provider Addresses for DR. JUSTIN PRUITT (DO, MS)

  • 625 19th St S

    Birmingham, AL 352331900

    Phone: (256) 551-4433

    Type: Location

  • 5575 HIGHWAY 431 S

    STE 104

    BROWNSBORO, AL 357419755

    Phone: (256) 469-6487

    Type: Location

  • 6388B HIGHWAY 431 S STE 2

    OWENS CROSS ROADS, AL 357639298

    Phone: (256) 469-6487

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $350.

Total Amount is formed as General ($350) + Research ($0) + Ownership ($0) = $350.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($115).

Total Amount

$350

General + Research + Ownership

Payments

20

Total payment records

General Amount

$350

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180620001149IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes363155$0
36415Insertion of needle into vein for collection of blood sample13697$0
99213Established patient office or other outpatient visit, 20-29 minutes13079$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit123123$0
83036Hemoglobin a1c level3822$0
View full utilization report →

Insurance plans in this area (ZIP 35233)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. JUSTIN PRUITT (DO, MS)'s NPI?
Yes. DR. JUSTIN PRUITT (DO, MS) is listed with NPI 1215303367 in the public NPI dataset.
Can I rely on DR. JUSTIN PRUITT (DO, MS) being an active provider?
As of the registry snapshot, DR. JUSTIN PRUITT (DO, MS) is marked active.
What is DR. JUSTIN PRUITT (DO, MS) best known for clinically?
Directory data describes DR. JUSTIN PRUITT (DO, MS) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. JUSTIN PRUITT (DO, MS) serve?
DR. JUSTIN PRUITT (DO, MS)'s listing highlights Birmingham, Alabama; more addresses can appear in NPPES.
Why does DR. JUSTIN PRUITT (DO, MS) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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