Dr. Timothy Michael Pruitt
DNP | Nurse Practitioner | 6+ years Exp
7601 Southcrest Pkwy, Southaven
Mississippi, 38671
662-772-4200
Dr. Timothy Michael Pruitt is a Southaven, Mississippi based nurse practitioner with 6 years of experience in . 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 and his NPI number (Unique professional ID assigned by NPPES) is 1295738706.
Dr. Timothy Michael Pruitt has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
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: | Nurse Practitioner (NP) |
| 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: | 29 Jul, 2025 |
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 Number | Specialization | State | Status | |
| 893878 | | Mississippi | Primary | |
| RN298030 | Nurse Practitioner | Georgia | Secondary | |
| A001384 | Nurse Practitioner | Arkansas | Secondary | |
| 19099 | Nurse Practitioner | Tennessee | Secondary | |
| RN298030 | Acute Care | Georgia | Secondary | |
| A001384 | Acute Care | Arkansas | Secondary | |
| 19099 | Acute Care | Tennessee | Secondary | |
| 893878 | Acute Care | Mississippi | Secondary | |
| RN298030 | Family | Georgia | Secondary | |
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, VA | Acute Care Hospital |
| (490115) | Galax, VA | Acute 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.
| Identifier | Type | State | Issuer |
| 136263758 | Medicaid | Arkansas | |
| 08379272 | Medicaid | Mississippi | |
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
5381 Allen Rd,
Hernando, Mississippi |
| Zip: | 38632-9608 |
| 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:
Patients can read all the reviews posted for Dr. Timothy Michael Pruitt below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Timothy Michael Pruitt. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.