Organization Active NPI

Pruitthealth - Forsyth, LLC

Doing business as PruittHealth - Forsyth

  • Skilled Nursing Facility
  • Forsyth, GA
National Provider Identifier
1154378677
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-102-1010 Issued in GA
Legal business name
PRUITTHEALTH - FORSYTH, LLC
Doing business as
PruittHealth - Forsyth
Practice address
521 Cabaniss Rd
Forsyth, GA 31029-9048
Phone
(478) 994-5671
NPI assigned
May 29, 2006
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Mr. Neil L. Pruitt Jr.
Title
Chairman and Ceo
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-102-1010 GA Primary

Addresses

Primary practice location

521 Cabaniss Rd
Forsyth, GA 31029-9048

Mailing address

1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (770) 279-6200

Other identifiers 1

IdentifierTypeStateIssuer
00141017AMedicaidGA

Other names 1

  • PruittHealth - Forsyth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060228000496 GA Part A Provider - Skilled Nursing Facility 5496761454 Practice locations: Forsyth, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154378677. Details of each certification follow.

Skilled nursing facility certification: CCN 115418

Legal name
PRUITTHEALTH - FORSYTH, LLC
Doing business as
PRUITTHEALTH - FORSYTH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1989
Last certification
May 15, 2025
Beds
72
Ownership / control type
Corporation
Multi-facility organization
Pruitthealth
Organization structure
LLCProprietary
Incorporated
Sep 24, 2007 in GA
Enrollment address
521 Cabiness Rd
Forsyth, GA 31029-9048
Nursing home name
PRUITTHEALTH - FORSYTH
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - ForsythCCN 115418 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7262.5 residents per day on average
Chain
Pruitthealth95 facilities in the chain
Penalties (3 years)
1Fines totaling $10,615

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0263543Pruitthealth - Forsyth, LLC521 Cabiness Road, Forsyth, GA 31029Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Brittany Nicole Johnson Individual W-2 Managing EmployeeFacility Administrator Mar 19, 2021 100%
Priscilla Buwee-Kwah Individual W-2 Managing EmployeeFacility Administrator Apr 19, 2021 100%
United Health Services Inc Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 24, 2007 100%
Pruitthealth Inc Organization, Toccoa, GA Corporation, For-profit Other Sep 24, 2007
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 24, 2007 26.13%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Sep 25, 2007 100%
Corporate DirectorChairman and Ceo Sep 25, 2007 100%
OtherCho Administrator Sep 25, 2007 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 24, 2007 35.2%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 24, 2007 100%
United Health Services of Georgia, Inc. Organization, Norcross, GA For-profit 5% Or Greater Direct Ownership Interest Sep 24, 2007 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 24, 2007 28.84%

Facilities with the same owner 123

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

View all 123

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

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": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1154378677",
    "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": "521 CABANISS RD",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310299048",
            "telephone_number": "478-994-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - FORSYTH, 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",
        "authorized_official_telephone_number": "770-279-6200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-102-1010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141017A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Forsyth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forsyth, GA

Sources for this page

Verify at the official NPI Registry.