Pruitthealth - Lilburn, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-067-1799 Issued in GA

Legal business name

PRUITTHEALTH - LILBURN, LLC

Doing business as

PruittHealth - Lilburn

Practice address

788 Indian TRL Rd NW
Lilburn, GA 30047-3724

Phone

(770) 923-2020

NPI assigned

May 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Neil L Pruitt Jr.

Title

Chairman and Ceo of Manager

Phone

(770) 279-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PruittHealth - Lilburn Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Skilled nursing facility certification: CCN 115516

Legal name

PRUITTHEALTH - LILBURN, LLC

Doing business as

PRUITTHEALTH - LILBURN

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1991

Last certification

May 15, 2025

Beds

152

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Pruitthealth

Organization structure

LLCProprietary

Incorporated

Sep 24, 2007 in GA

Enrollment address

788 Indian TRL Rd NW
Lilburn, GA 30047-3724

Nursing home name

PRUITTHEALTH - LILBURN

Affiliated entity

PRUITTHEALTH

Listed as

PruittHealth - LilburnCCN 115516 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 1, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

152118.8 residents per day on average

Chain

Pruitthealth95 facilities in the chain

Penalties (3 years)

2Fines totaling $59,423

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 123

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Pruitthealth - Ashburn LLC

  • Skilled Nursing Facility
  • Ashburn, GA
  • NPI 1851347108

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Athens Heritage LLC

  • Skilled Nursing Facility
  • Athens, GA
  • NPI 1316993769

  J Paige Pruitt Trust, Lisa P Hamby Trust

  CMS ownership
• Pruitthealth - Augusta Hills LLC

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1235186974

  United Health Services Inc

  CMS ownership
• Pruitthealth - Augusta, LLC

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1295908846

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Austell, LLC

  • Skilled Nursing Facility
  • Austell, GA
  • NPI 1386690642

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Bethany, LLC

  • Skilled Nursing Facility
  • Millen, GA
  • NPI 1184924458

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Blue Ridge, LLC

  • Skilled Nursing Facility
  • Blue Ridge, GA
  • NPI 1730136599

  Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Brookhaven, LLC

  • Skilled Nursing Facility
  • Atlanta, GA
  • NPI 1336196468

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Christian City, LLC

  • Skilled Nursing Facility
  • Union City, GA
  • NPI 1720221328

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Covington LLC

  • Skilled Nursing Facility
  • Covington, GA
  • NPI 1457797177

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Creekside, LLC

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1104536077

  United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Crestwood, LLC

  • Skilled Nursing Facility
  • Valdosta, GA
  • NPI 1063036200

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Byron Thomas Kelly, M.D.

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1033280466
  NPD (past)
• Thomas Stephen Powell III, M.D.

  • Hospitalist Physician
  • Atlanta, GA
  • NPI 1487036224
  NPD (past)
• Willie E Landrum II, MD

  • Hospitalist Physician
  • Columbia, SC
  • NPI 1760653612
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Byron Thomas Kelly, M.D.

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1033280466

  Nursing home

  Care Compare affiliation
• Thomas Stephen Powell III, M.D.

  • Hospitalist Physician
  • Atlanta, GA
  • NPI 1487036224

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1043267560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS CT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932219",
            "telephone_number": "770-279-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 INDIAN TRL RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473724",
            "telephone_number": "770-923-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - LILBURN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN AND CEO OF MANAGER",
        "authorized_official_telephone_number": "770-279-6200",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-067-1799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00145527A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Lilburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.