Pruittplace - Buckhead, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRUITTPLACE - BUCKHEAD, LLC

Practice address

3088 Lenox Rd NE
Atlanta, GA 30324-2894

Phone

(770) 279-6200

NPI assigned

Jan 24, 2024

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

Phone

(770) 279-6200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pruitthealth Therapy Services, Inc.

  dba United Rehab OPT at GA War

  • Rehabilitation Clinic/Center
  • Norcross, GA
  • NPI 1013152933

  O20250110000754

  Same enrollment
• Pruittplace - Sandy Springs, LLC

  • Assisted Living Facility
  • Atlanta, GA
  • NPI 1588376164

  O20250110000754

  Same enrollment

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

CLIA laboratory certificates

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1083476105",
    "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": "3088 LENOX RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303242894",
            "telephone_number": "770-279-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTPLACE - BUCKHEAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "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",
        "authorized_official_telephone_number": "770-279-6200",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Melvin Pruitt, MD
• Tiffany Lynnette Pruitt
• Pruitthealth - Brookhaven, LLC (PruittHealth - Brookhaven)
• Pruitthealth - Virginia Park, LLC (PruittHealth - Virginia Park)
• Pruitthealth - West Atlanta, LLC (PruittHealth - West Atlanta)
• Pruittplace - Sandy Springs, LLC
• David Pruszynski, DPT
• Stacey Lyn Pryce, CRNA
• Brett Jordan Prylinski, D.O.
• Tory Prynn

• Assisted Living Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.