RUSSELL PRUITT SR. HERRINGTON (M.D.) – Emergency Medicine Physician, NPI 1124048889

RUSSELL PRUITT SR. HERRINGTON (M.D.) is a healthcare provider. based in Portal, Georgia. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 31261 (GA). The NPI Number for RUSSELL PRUITT SR. HERRINGTON (M.D.) is 1124048889

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL PRUITT SR. HERRINGTON (M.D.)
NPI
1124048889
Phone
(912) 865-9353
Address
660 SNOOPY LANE
Enumeration Date
19 July 2006
Last Update Date
11 August 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
6406840974
Group Practice PAC ID
3072403237
Professional Enrollment ID
I20110106001092
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for RUSSELL PRUITT SR. HERRINGTON (M.D.)

  • 660 SNOOPY LANE

    PORTAL, GA 30450

    Phone: (912) 865-9353

    Fax: (912) 865-4175

    Type: Mailing

  • Lanier Health Services, 4800, 48th Street, Eady City, Valley, Chambers County, Alabama, 36854, United States

    VALLEY, AL 368543666

    Phone: (334) 756-9180

    Fax: (334) 756-5874

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-01-06

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
I20110106001092IEmergency MedicineALTBD

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
99284Emergency department visit with moderate level of medical decision making132129$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7170$0
99285Emergency department visit with high level of medical decision making6464$0
99283Emergency department visit with low level of medical decision making6161$0
99282Emergency department visit with straightforward medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 30450)

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Provider's Procedures

RUSSELL PRUITT SR. HERRINGTON (M.D.) performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEAL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report137131

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072403237View full group profile
NameSpecialtyState
Gynecological OncologyAL
Nurse PractitionerAL
Critical Care (Intensivists)AL
E N D O C R I N O L O G YMS
Emergency MedicineGA
-AL
Nurse PractitionerAL
Physician AssistantFL
Emergency Medicine, Family PracticeAL
P A T H O L O G YAL

Reviews

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Frequently asked questions

Can I cross-check RUSSELL PRUITT SR. HERRINGTON (M.D.) using NPI 1124048889?
NPI 1124048889 belongs to RUSSELL PRUITT SR. HERRINGTON (M.D.); compare other details if you need extra assurance.
Is RUSSELL PRUITT SR. HERRINGTON (M.D.) shown as active in public data?
Registry records indicate RUSSELL PRUITT SR. HERRINGTON (M.D.) maintains an active NPI.
What area of care is associated with RUSSELL PRUITT SR. HERRINGTON (M.D.)?
RUSSELL PRUITT SR. HERRINGTON (M.D.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with RUSSELL PRUITT SR. HERRINGTON (M.D.)?
Directory geography for RUSSELL PRUITT SR. HERRINGTON (M.D.) centers on Portal, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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