MR. CHARLES B PRUITT (NPI# 1437398799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437398799 |
| Entity Type | Individual |
| Full Name | MR. CHARLES B PRUITT |
| Practice Address |
6191 Crooked Creek Dr Rex GA 30273-5008 |
| Practice Telephone | 4044143664 |
| Mailing Telephone | 4044143664 |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | $$$$$$$$$ | GA | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184175234 | Charles Pruitt Iv | Behavior Technician | 1140 Rockcress Dr, Toledo, OH 43615-9238 | 2016-10-24 |
| 1700395514 | Charles Pruitt | Psychologist | 664 Slate Ave, Owingsville, KY 40360-0327 | 2017-09-25 |
| 1962583757 | Charles W. Pruitt | Pediatrics | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2006-10-18 |
| 1700978889 | Charles Pruitt | Family Medicine | 360 Simpson Highway 149, Suite300, Magee, MS 39111-3841 | 2006-09-28 |
| 1689645657 | Charles Bart Pruitt | Family Medicine | 719 W Coke Rd, Building 2, Winnsboro, TX 75494-3060 | 2006-01-30 |
| 1194706341 | Charles L Pruitt | Emergency Medicine | 401 N Ewing St, Lancaster, OH 43130-3372 | 2005-11-07 |
| Street Address |
6191 CROOKED CREEK DR |
| City | REX |
| State | GA |
| Zip Code | 30273-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881058386 | Carlton Calhoun | Driver | 6191 Crooked Creek Dr, Rex, GA 30273-5008 | 2016-04-11 |
| 1073976007 | Tera Pruitt | Case Manager/Care Coordinator | 6191 Crooked Creek Dr, Rex, GA 30273-5008 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043720246 | Never Forgotten Transportation | Non-emergency Medical Transport (VAN) | 6113 Heisler St, Rex, GA 30273 | 2017-10-03 |
| 1235668682 | Berthina Gaynell Weaver | Licensed Practical Nurse | 5820 Rex Ridge Loop, Rex, GA 30273 | 2017-06-08 |
| 1114399573 | Donnita Rountree | Counselor | 6297 Ellenwood Drive, Rex, GA 30273 | 2015-10-26 |
| 1811378433 | Jillian Simpson | Nurse's Aide | 6668 Biscayne Blvd, Rex, GA 30273 | 2015-06-10 |
| 1528478864 | Denise Elecia Lyn-bradley | Counselor | 156 Hayes Circle, Rex, GA 30273 | 2014-05-07 |
| 1699943936 | First Opportunity Home Healthcare,llc. | Home Health | 3113 Caliente Ln, Rex, GA 30273-1002 | 2008-02-20 |
| 1558370288 | Lynne D Scott | Marriage & Family Therapist | 6188 Highway 42, Rex, GA 30273-1028 | 2006-08-05 |
| 1538451083 | Ralph Bernard Willliams | Counselor | 6188 Highway 42, Rex, GA 30273-1028 | 2011-05-03 |
| 1780639518 | Jovans Pharmacy Corp | Pharmacy | 6001 Highway 42, Rex, GA 30273-1030 | 2006-05-23 |
| 1548560964 | Hope & Grace, LLC | Community Based Residential Treatment Facility, Mental Illness | 5860 Ronnie Dr, Rex, GA 30273-1060 | 2010-11-01 |
| Find all providers in zip 30273 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912556069 | Keith Backmon | Non-emergency Medical Transport (VAN) | 5658 Rex Ridge Loop, Rex, GA 30273-5237 | 2019-09-10 |
| 1043720246 | Never Forgotten Transportation | Non-emergency Medical Transport (VAN) | 6113 Heisler St, Rex, GA 30273 | 2017-10-03 |
| 1558908111 | Klb Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5658 Rex Ridge Loop, Rex, GA 30273-5237 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1114525144 | Trinity Nemt LLC | Non-emergency Medical Transport (VAN) | 1546 Scott Rd, Eastanollee, GA 30538-3374 | 2020-10-12 |
| 1487252623 | Mr. Teague & Associates LLC | Non-emergency Medical Transport (VAN) | 4426 Central Church Rd, Douglasville, GA 30135-2762 | 2020-10-10 |
| 1306443775 | Hrj Essentials, LLC | Non-emergency Medical Transport (VAN) | 2690 Cobb Pkwy Se Ste A5-598, Smyrna, GA 30080-3001 | 2020-10-07 |
| 1801401955 | Dexter T Myrick | Non-emergency Medical Transport (VAN) | 158 Hopewell Church Rd Nw, Milledgeville, GA 31061-9743 | 2020-09-14 |
| 1417562190 | Alpine Transportation | Non-emergency Medical Transport (VAN) | 3009 Rainbow Dr Ste 139i, Decatur, GA 30034-1879 | 2020-09-10 |
| 1316551963 | Rsvp Assured Trans, LLC. | Non-emergency Medical Transport (VAN) | 1000 Shadix Industrial Way, Douglasville, GA 30134-3956 | 2020-09-01 |
| 1982227914 | Naquita Dobbs | Non-emergency Medical Transport (VAN) | 7875 Waterwheel Way, Jonesboro, GA 30238-4125 | 2020-05-26 |
| 1104448950 | Latarsha Moneek White | Non-emergency Medical Transport (VAN) | 3611 Cromwell Dr, Hephzibah, GA 30815-6210 | 2020-05-15 |
| 1477175495 | Cpt Services LLC | Non-emergency Medical Transport (VAN) | 5628 Rice Ct, Ellenwood, GA 30294-3879 | 2020-05-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.