Don L Pruitt (NPI# 1194808253, PAC ID# 4183650088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194808253 |
| PAC ID by PECOS | 4183650088 |
| Professional Enrollment ID | I20050713000696 |
| Full Name | Don L Pruitt |
| Organization Legal Name | CHATUGE REGIONAL HOSPITAL INC |
| Address |
56 Firewater Ln Suches GA 30572-2941 |
| Phone Number | 7067471036 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840196523 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110051 | UNION GENERAL HOSPITAL |
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 56 Firewater Ln, Suches, GA 30572-2941 | 7067471036 | CHATUGE REGIONAL HOSPITAL INC |
| 56 Firewater Ln, Suches, GA 30572-2941 | 7067451036 | UNION GENERAL AFFILIATED SERVICES, LLC |
| Organization Legal Name | CHATUGE REGIONAL HOSPITAL INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula Jean Boyle | Family Medicine | Chatuge Regional Hospital Inc | 103 Church St, Hiawassee, GA 30546-3223 |
| Elizabeth M Dyer | Nurse Practitioner | Chatuge Regional Hospital Inc | 110 Main St, Hiawassee, GA 30546 |
| Paul C Conrad | Emergency Medicine | Chatuge Regional Hospital Inc | 110 Main St, Hiawassee, GA 30546 |
| Byron R Williams Jr. | Cardiovascular Disease (cardiology) | Chatuge Regional Hospital Inc | 110 Main St, Hiawassee, GA 30546 |
| Jo T Sineath | Certified Registered Nurse Anesthetist (crna) | Chatuge Regional Hospital Inc | 110 Main St, Hiawassee, GA 30546 |
| Tamara Gilbert | Nurse Practitioner | Chatuge Regional Hospital Inc | 110 Main St, Hiawassee, GA 30546 |
| Stephen W Jarrard | General Practice | Chatuge Regional Hospital Inc | 110 Main St, Hiawassee, GA 30546 |
| Rodney E Moore | Emergency Medicine | Chatuge Regional Hospital Inc | 110 Main St, Hiawassee, GA 30546 |
| Jay S Cochran | Family Practice | Chatuge Regional Hospital Inc | 110 Main St, Hiawassee, GA 30546 |
| Street Address |
56 FIREWATER LN |
| City | SUCHES |
| State | GA |
| Zip | 30572-2941 |
| City | SUCHES |
| Zip Code | 30572 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SUCHES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Don L 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.