Active NPI
Pruitthealth - Ocilla, LLC
Doing business as PruittHealth - Ocilla
- Skilled Nursing Facility
- Ocilla, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1-077-1773
- Legal business name
- PRUITTHEALTH - OCILLA, LLC
- Doing business as
- PruittHealth - Ocilla
- Practice address
- 209 W Hudson St
Ocilla, GA 31774-1235 - Phone
- (229) 468-9431
- NPI assigned
- Jan 7, 2013
- Last updated
- Jun 27, 2014
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1-077-1773 | GA | Primary |
Addresses
Primary practice location
209 W Hudson St
Ocilla, GA 31774-1235
Mailing address
1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (770) 279-6200
Other names 1
- PruittHealth - Ocilla
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130305000635 | GA | Part A Provider - Skilled Nursing Facility | 6305091901 | Practice locations: Ocilla, GA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1144567488. Details of each certification follow.
Skilled nursing facility certification: CCN 115608
- Legal name
- PRUITTHEALTH - OCILLA, LLC
- Doing business as
- PRUITTHEALTH - OCILLA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 16, 1996
- Last certification
- Jan 26, 2023
- Beds
- 83
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- May 21, 2012 in GA
- Enrollment address
- 209 W Hudson St
Ocilla, GA 31774-1235 - Nursing home name
- PRUITTHEALTH - OCILLA
- Affiliated entity
- PRUITTHEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pruitthealth - Ocilla
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 16, 1996
- Medicare certification status
- Active
- Certified beds
- 83
- Chain
- Pruitthealth
National Provider Directory
National Provider DirectoryLocations
209 W Hudson St
Ocilla, GA 31774
Phone (229) 468-9431
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Delores Scroggs | W-2 Managing Employee | Nov 27, 2021 | 100% |
| United Health Services Inc | 5% Or Greater Indirect Ownership Interest | May 21, 2012 | 100% |
| Pruitthealth Inc | Other | May 21, 2012 | |
| Lisa P Hamby Trust | 5% Or Greater Indirect Ownership Interest | May 21, 2012 | 26.13% |
| Neil Little Pruitt | Corporate Officer | May 21, 2012 | 100% |
| Corporate Director | May 21, 2012 | 100% | |
| Other | May 21, 2012 | 100% | |
| Neil L Pruitt Jr Trust | 5% Or Greater Indirect Ownership Interest | May 21, 2012 | 35.2% |
| Uhs-Pruitt Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | May 21, 2012 | 100% |
| United Health Services of Georgia, Inc. | 5% Or Greater Direct Ownership Interest | May 21, 2012 | 99% |
| J Paige Pruitt Trust | 5% Or Greater Indirect Ownership Interest | May 21, 2012 | 28.84% |
Facilities with the same owner 123
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba PruittHealth - Ashburn
- 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.
-
dba PruittHealth - Athens Heritage
- Skilled Nursing Facility
- Athens, GA
- NPI 1316993769
J Paige Pruitt Trust, Lisa P Hamby Trust
-
dba PruittHealth - Augusta Hills
- Skilled Nursing Facility
- Augusta, GA
- NPI 1235186974
United Health Services Inc
-
dba PruittHealth - Augusta
- 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.
-
dba PruittHealth - Austell
- 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.
-
dba PruittHealth - Bethany
- 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.
-
dba PruittHealth - Blue Ridge
- Skilled Nursing Facility
- Blue Ridge, GA
- NPI 1730136599
Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.
-
dba PruittHealth - Brookhaven
- 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.
-
dba Christian City Rehabilitation Center
- 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.
-
dba PruittHealth - Covington
- 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.
-
- Skilled Nursing Facility
- Augusta, GA
- NPI 1104536077
United Health Services of Georgia, Inc.
-
- 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.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Fitzgerald, GA
- NPI 1538165386
-
- Internal Medicine Physician
- Douglas, GA
- NPI 1437142320
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403827200000",
"number": "1144567488",
"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": "209 W HUDSON ST",
"city": "OCILLA",
"state": "GA",
"postal_code": "317741235",
"telephone_number": "229-468-9431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRUITTHEALTH - OCILLA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-07",
"last_updated": "2014-06-27",
"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": "1-077-1773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PruittHealth - Ocilla",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ocilla, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.