DR. TIMOTHY MICHAEL PRUITT (DNP) – Nurse Practitioner, NPI 1295738706

DR. TIMOTHY MICHAEL PRUITT (DNP) is a healthcare provider. based in Olive branch, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. RN298030 (GA). The NPI Number for DR. TIMOTHY MICHAEL PRUITT (DNP) is 1295738706

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY MICHAEL PRUITT (DNP)
NPI
1295738706
Phone
(502) 810-4146
Address
8820 TURKEY CREEK DR
Enumeration Date
30 May 2005
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6067593114
Graduation Year
2019 (7 years ago)
PAC ID
9931131943
Group Practice PAC ID
0042307852
Professional Enrollment ID
I20091026000049
Address ID
KY410568750MA989XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience96
Completeness85
Years active:21State licenses:4Digital endpointsOther names

4,586 NURSE PRACTITIONER in MS

Provider Addresses for DR. TIMOTHY MICHAEL PRUITT (DNP)

  • 8820 TURKEY CREEK DR

    OLIVE BRANCH, MS 386548096

    Phone: (502) 810-4146

    Type: Mailing

  • 7601 Southcrest Pkwy

    Southaven, MS 38671

    Phone: (662) 772-4200

    Type: Location

  • 6225 Humphreys Blvd

    Memphis, TN 381202373

    Phone: (901) 227-9000

    Type: Location

  • 2100 N 7th St

    West Memphis, AR 723012017

    Phone: (870) 394-7800

    Type: Location

  • 1500 W Poplar Ave

    Collierville, TN 380170601

    Phone: (901) 861-9000

    Type: Location

  • 2122 Manchester Expy

    Columbus, GA 319046878

    Phone: (706) 596-4000

    Fax: (706) 596-4481

    Type: Location

  • Baptist Memorial Hospital-DeSoto, 7601, Southcrest Parkway, Southaven Towne Center, Southaven, DeSoto County, Mississippi, 38671, United States

    SOUTHAVEN, MS 38671

    Phone: (662) 772-4200

    Type: Location

  • Twin County Regional Healthcare

    200 Hospital Drive

    Galax, VA 24333

    Phone: (276) 236-8181

    Type: Location

  • 2631 ITASCA DR

    NESBIT, MS 386519137

    Phone: (502) 810-4146

    Type: Mailing

  • 5381 ALLEN RD

    HERNANDO, MS 386329608

    Phone: (502) 810-4146

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-03-24 • Largest payer in this snapshot: PFIZER INC. ($32).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$32
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: 2025-02-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 10 Medicare enrollment records; no due dates published yet.

Enrollment records

10

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
I20050912000344INurse PractitionerARTBD
I20091026000049INurse PractitionerKYTBD
I20130531000168INurse PractitionerMSTBD
I20150402001282INurse PractitionerTNTBD
I20200811000066INurse PractitionerGATBD
I20201104000925INurse PractitionerVATBD
I20201230000640INurse PractitionerTXTBD
I20240724003180INurse PractitionerWVTBD
I20250128003091INurse PractitionerNMTBD
I20250225001187INurse PractitionerNCTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8135$0
99285Emergency department visit with high level of medical decision making4848$0
99284Emergency department visit with moderate level of medical decision making3232$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2826$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 38654)

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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: 0042307852View full group profile
NameSpecialtyState
-KY
Family Practice, Geriatric MedicineKY
Internal MedicineNY
Internal MedicineTN
Pulmonary Disease, Critical Care (Intensivists)TN
-MO
Internal MedicineTN
Internal MedicineSC
-TN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Where can patients find DR. TIMOTHY MICHAEL PRUITT (DNP)'s NPI?
You can confirm DR. TIMOTHY MICHAEL PRUITT (DNP) with NPI 1295738706; it appears in the national provider directory.
Is DR. TIMOTHY MICHAEL PRUITT (DNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. TIMOTHY MICHAEL PRUITT (DNP) treat or focus on?
Patients typically see DR. TIMOTHY MICHAEL PRUITT (DNP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for DR. TIMOTHY MICHAEL PRUITT (DNP)?
We surface Olive Branch, Mississippi for DR. TIMOTHY MICHAEL PRUITT (DNP) based on available NPPES addresses.
What if Olive Branch, Mississippi seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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