Timothy Michael Pruitt, DNP
NPI 1295738706ActiveIndividual· Nurse Practitioner· Southaven, MS
Nurse Practitioner (DNP) with Southeastern Emergency Physicians LLC and 4 other groups, practicing in Southaven, Mississippi. In 2024 Medicare paid $14,720 for 141 patients, and Part D covered 170 of their prescriptions, 89% of them generic. Lists Jackson Purchase Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1295738706 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP |
| Sole proprietor | No |
| NPI issued | May 30, 2005 |
| Last updated in NPPES | Jul 29, 2025 |
| Certified by provider | Jul 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 893878 | MS |
| Nurse Practitioner | 363L00000X | RN298030 | GA |
| Nurse Practitioner | 363L00000X | A001384 | AR |
| Nurse Practitioner | 363L00000X | 19099 | TN |
| Nurse Practitioner, Acute Care | 363LA2100X | RN298030 | GA |
| Nurse Practitioner, Acute Care | 363LA2100X | A001384 | AR |
| Nurse Practitioner, Acute Care | 363LA2100X | 19099 | TN |
| Nurse Practitioner, Acute Care | 363LA2100X | 893878 | MS |
| Nurse Practitioner, Family | 363LF0000X | RN298030 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AR); Practitioner - Nurse Practitioner (GA); Practitioner - Nurse Practitioner (KY); Practitioner - Nurse Practitioner (MS); Practitioner - Nurse Practitioner (NC); Practitioner - Nurse Practitioner (NM); Practitioner - Nurse Practitioner (TN); Practitioner - Nurse Practitioner (TX); Practitioner - Nurse Practitioner (VA); Practitioner - Nurse Practitioner (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 141 |
|---|---|
| Services billed | 197 across 23 procedure codes |
| Paid by Medicare | $14,720 |
Part D prescriptions in 2024
| Prescriptions (claims) | 170 · 170 30-day fills |
|---|---|
| Patients | 110 |
| Total drug cost | $5,546 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Southeastern Emergency Physicians LLCNewport, TN · 784 clinicians
- Emergency Coverage LLCRichmond, VA · 775 clinicians
- Southeastern Physician Services PCSaint Peters, MO · 593 clinicians
- Hospital Medicine Services of Tennessee PCNashville, TN · 162 clinicians
- Southwest Emergency Medical Associates of Nm PCLas Cruces, NM · 55 clinicians
Hospital affiliations
- Jackson Purchase Medical CenterMayfield, KY
- Meadowview Regional Medical CenterMaysville, KY
- Memorial Medical CenterLas Cruces, NM
- Sovah Health DanvilleDanville, VA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 27 nurse practitioners in Southaven · All nurse practitioners in Mississippi