DR. CHARLES PRUITT M.D. NPI 1700978889

NPI Information

  • NPI: 1700978889
  • Provider Name: DR. CHARLES PRUITT, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 360 SIMPSON HIGHWAY 149
    SUITE300
    MAGEE, MS
    ZIP 39111
  • Phone: (601) 849-1230

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NPI Details

DR. Charles Pruitt, M.D. is a family medicine in Magee, MS with 56 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Charles Pruitt, M.D. NPI is 1700978889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1970

The provider's business location address is:

360 SIMPSON HIGHWAY 149
SUITE300
MAGEE, MS
ZIP 39111-841
Phone: (601) 849-1230
Fax: (601) 849-1890

The NPI 1700978889 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Injection, garamycin, gentamicin, up to 80 mg (HCPCS:J1580)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection, lincomycin hcl, up to 300 mg (HCPCS:J2010)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Removal of impacted ear wax (HCPCS:69210)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Administration of vaccine (HCPCS:90471)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/28/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine06021MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100123423MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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