Individual Healthcare Provider
Timothy Michael Pruitt, DNP
Provider's NPPES record last updated: July 29, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1295738706
- Primary Specialty
- Nurse Practitioner
- Practice Location
- Southaven, Mississippi
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 2:43 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000X Nurse Practitioner
Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2100XNurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Mississippi)
- 893878
- Nurse Practitioner (Georgia)
- RN298030
- Nurse Practitioner (Arkansas)
- A001384
- Nurse Practitioner (Tennessee)
- 19099
- Nurse Practitioner (Georgia)
- RN298030
- Nurse Practitioner (Arkansas)
- A001384
- Nurse Practitioner (Tennessee)
- 19099
- Nurse Practitioner (Mississippi)
- 893878
- Nurse Practitioner (Georgia)
- RN298030
Practice Locations
Practice Location
7601 Southcrest Pkwy
Southaven, Mississippi 38671
Phone: (662) 772-4200
Additional Practice Location
Twin County Regional Healthcare
200 Hospital Drive
Galax, Virginia 24333
Phone: (276) 236-8181
Additional Practice Location
7601 Southcrest Pkwy
Southaven, Mississippi 38671
Phone: (662) 772-4200
Additional Practice Location
6225 Humphreys Blvd
Memphis, Tennessee 38120-2373
Phone: (901) 227-9000
Additional Practice Location
2100 N 7th St
West Memphis, Arkansas 72301-2017
Phone: (870) 394-7800
Additional Practice Location
1500 W Poplar Ave
Collierville, Tennessee 38017-0601
Phone: (901) 861-9000
Additional Practice Location
2122 Manchester Expy
Columbus, Georgia 31904-6878
Phone: (706) 596-4000
Fax: (706) 596-4481
Record Information
- Enumeration Date
- May 30, 2005
- Provider's NPPES Record Last Updated
- July 29, 2025
- Certification Date
- July 29, 2025
- NPISignal NPPES Dataset
- August 2026
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