Dr. Timothy Michael Pruitt

DNP | Nurse Practitioner - Acute Care | 6+ years Exp

7601 Southcrest Pkwy, Southaven
  Mississippi, 38671
662-772-4200
Accepts Medicare Nurse Anesthetist in Southaven, Mississippi.
Dr. Timothy Michael Pruitt is a Southaven, Mississippi based nurse practitioner with 6 years of experience in Acute Care. He completed his graduation in 2019. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Timothy Michael Pruitt is 893878 in Mississippi. His current practice location is 7601 Southcrest Pkwy, Southaven. Patients can reach him at 662-772-4200. Dr. Timothy Michael Pruitt is DNP with specialization in Acute Care and his NPI number (Unique professional ID assigned by NPPES) is 1295738706.
Dr. Timothy Michael Pruitt is a licensed independent practitioner and may autonomously provide care. He provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Dr. Timothy Michael Pruitt speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Dr. Timothy Michael Pruitt
Specialization: Acute Care Nurse Practitioner (ACNP)
Gender:Male
Credentials: DNP
Experience: 6+ years
Medical School Attended:Other
Graduation Year:2019
Accepts Medicare Assignment:Yes
Practice Address:7601 Southcrest Pkwy, Southaven,
Mississippi, 38671
Phone:662-772-4200
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9931131943
Enrollment ID: I20050912000344
NPI Number: 1295738706
NPI Enumeration Date: 30 May, 2005
NPI Last Update On: 12 May, 2022

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Timothy Michael Pruitt are as mentioned below.
License NumberSpecializationStateStatus
893878 MississippiPrimary
19099Acute Care TennesseeSecondary
A001384Nurse Practitioner ArkansasSecondary
19099Nurse Practitioner TennesseeSecondary
893878Acute Care MississippiSecondary
A001384Acute Care ArkansasSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(490023)Warrenton, VAAcute Care Hospital
(490115)Galax, VAAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Dr. Timothy Michael Pruitt is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Southeastern Emergency Physicians Llc (2466364997)431
Southeastern Emergency Physicians Llc (2466364997)431
Emergency Coverage Services Pc (8820983430)53
Southeastern Intensivist Services Pc (9335152107)184
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Timothy Michael Pruitt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
136263758MedicaidArkansas
08379272MedicaidMississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Dr. Timothy Michael Pruitt
2631 Itasca Dr,
Nesbit, Mississippi
Zip: 38651-9137
Phone Number: 502-810-4146
Patients can reach Dr. Timothy Michael Pruitt at 7601 Southcrest Pkwy, Southaven, Mississippi or can call to book an appointment on 662-772-4200.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.