Jenny M Pruitt (NPI# 1528249133, PAC ID# 3173606365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1528249133 |
| PAC ID by PECOS | 3173606365 |
| Professional Enrollment ID | I20080211000842 |
| Full Name | Jenny M Pruitt |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Address |
323 Falls Nwdr Abingdon VA 24210-8093 |
| Phone Number | 2766282612 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739099441 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490038 | SMYTH COUNTY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 323 Falls Nwdr, Abingdon, VA 24210-8093 | 2766282612 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deneene R Booth | Anesthesiology | Blue Ridge Medical Management Corporation | 601 Campus Dr, Abingdon, VA 24210-9700 |
| Shasta Nicole Bowens | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2000 Brookside Dr, Suite 3, Kingsport, TN 37660-4627 |
| Luc Jasmin | Neurosurgery | Blue Ridge Medical Management Corporation | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 |
| Sandra Michelle Sparks | Nurse Practitioner | Blue Ridge Medical Management Corporation | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6529 |
| Rebecca Sacora | Family Medicine | Blue Ridge Medical Management Corporation | 2030 Temple Hill Rd, Suite B, Erwin, TN 37650-8721 |
| Leslie Renee Barlow | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1201 Snider St, Marion, VA 24354-4221 |
| Sheila Ann Matherly | Nurse Practitioner | Blue Ridge Medical Management Corporation | 404 Bemberg Rd, Elizabethton, TN 37643-2938 |
| Melanie Hagerman | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2 Professional Park Dr, Suite 11, Johnson City, TN 37604-6584 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Amanda Elizabeth Loughlin | Nurse Practitioner | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266 |
| Street Address |
323 FALLS NWDR |
| City | ABINGDON |
| State | VA |
| Zip | 24210-8093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay Wilson | Family Medicine | Blue Ridge Medical Management Corporation | 323 Falls Nwdr, Abingdon, VA 24210-8093 |
| Moe M Mya | Internal Medicine | Blue Ridge Medical Management Corporation | 323 Falls Nwdr, Abingdon, VA 24210-8093 |
| Douglas D Dalton Ii | Physician Assistant | Blue Ridge Medical Management Corporation | 323 Falls Nwdr, Abingdon, VA 24210-8093 |
| Joseph A Brown | Gastroenterology | Blue Ridge Medical Management Corporation | 323 Falls Nwdr, Abingdon, VA 24210-8093 |
| Brian K Stiltner | Internal Medicine | Blue Ridge Medical Management Corporation | 323 Falls Nwdr, Abingdon, VA 24210-8093 |
| Scott G Hunter | Physician Assistant | Blue Ridge Medical Management Corporation | 323 Falls Nwdr, Abingdon, VA 24210-8093 |
| Innocent Monya Tambi | Internal Medicine | Blue Ridge Medical Management Corporation | 323 Falls Nwdr, Abingdon, VA 24210-8093 |
| Cameron M Ratcliff | Physician Assistant | Blue Ridge Medical Management Corporation | 323 Falls Nwdr, Abingdon, VA 24210-8093 |
| Matthew Williams | Physician Assistant | Blue Ridge Medical Management Corporation | 323 Falls Nwdr, Abingdon, VA 24210-8093 |
| Emily S Shields | Neurology | Blue Ridge Medical Management Corporation | 323 Falls Nwdr, Abingdon, VA 24210-8093 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald M Cobb | Diagnostic Radiology | Abingdon Radiology Services Ltd | Hospital Dr, Abingdon, VA 24210 |
| Ernest Noel Henry | Nephrology | 323 Falls Plaza Dr, Abingdon, VA 24210 | |
| Joe G Blankenship | Diagnostic Radiology | Abingdon Radiology Services Ltd | Hospital Dr, Abingdon, VA 24210 |
| Casey Dillon Mcreynolds | Diagnostic Radiology | Abingdon Radiology Services Ltd | Hospital Dr, Abingdon, VA 24210 |
| John Richard Mullens Iii | Diagnostic Radiology | Abingdon Radiology Services Ltd | Hospital Dr, Abingdon, VA 24210 |
| Jason J Jordan | Clinical Social Worker | Family Preservation Services Inc | 661 E Main St, Abingdon, VA 24210-2339 |
| Cindy R Vaughn | Nurse Practitioner | Family Preservation Services Inc | 661 E Main St, Abingdon, VA 24210-2339 |
| Sally Barca | Clinical Social Worker | Family Preservation Services Inc | 661 E Main St, Abingdon, VA 24210-2339 |
| Russell H Williams | Clinical Social Worker | Family Preservation Services Inc | 661 E Main St, Abingdon, VA 24210-2339 |
| Robert A Boothe Ii | Chiropractic | 108 Reedy Creek Rd, Abingdon, VA 24210-2436 | |
| Find all physicians in zip 24210 | |||
| City | ABINGDON |
| Zip Code | 24210 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ABINGDON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jenny M Pruitt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.