Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madeline Pruitt

Individual provider Physician Assistant · NPI 1245957224

Madeline Pruitt is a Physician Assistant in Atlanta, Georgia. Qualified in 2023, 3 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
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Practice location Address checks out

1488 Brook Valley Ln NE
Atlanta, GA 30324-3264
Phone: (812) 629-6321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1245957224
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2022
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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