NPIMap

Organization Active NPI

Pruitthealth Hospice - Tennessee, Inc.

  • Community Based Hospice Care Agency
  • Brownsville, TN
National Provider Identifier
1225819014
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRUITTHEALTH HOSPICE - TENNESSEE, INC.
Practice address
34 N Lafayette Ave # 36
Brownsville, TN 38012-2549
Phone
(770) 279-6200
NPI assigned
Oct 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Lynethia Nytonya Holley
Title
Provider Enrollment Specialist
Phone
(770) 806-6875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

34 N Lafayette Ave # 36
Brownsville, TN 38012-2549

Mailing address

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

Other names 1

  • PruittHealth Hospice and Palliative Care - Western Tennessee Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241210004204 TN Part A Provider - Hospice 6507392826 Practice locations: Brownsville, TN

Hospice certification: CCN 441611

Legal name
PRUITTHEALTH HOSPICE - TENNESSEE, INC.
Doing business as
PRUITTHEALTH HOSPICE AND PALLATIVE CARE - WESTERN TENNESSEE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 29, 2025
Last certification
May 29, 2025
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
34-36 North Lafayette Ave
Brownsville, TN 38012

Care Compare: Hospice

Medicare Care Compare
Listed as
Pruitthealth Hospice and Palliative Care - Western TennesseeCCN 441611
Certified
May 29, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Pruitthealth Hospice - Tennessee Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19 N Court Sq
Brownsville, TN 38012

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.

NameRoleSinceShare
Adam P English Individual Contracted Managing EmployeeMD; Jun 14, 2024
United Health Services Inc Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jun 17, 2024
Lisa P Hamby Trust Organization, Norcross, GA Other Jun 17, 2024 25.4%
Neil Little Pruitt Individual 5% Or Greater Direct Ownership Interest Jun 17, 2024 1%
Corporate OfficerChairman and Ceo Jun 17, 2024
Other Jun 17, 2024
Neil L Pruitt Jr Trust Organization, Norcross, GA Other Jun 17, 2024 49.2%
United Health Services of Tennessee, Inc Organization, Norcross, GA 5% Or Greater Direct Ownership Interest Jun 17, 2024
Robin Newbill Individual W-2 Managing EmployeeAd; Jun 17, 2024
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jun 17, 2024
J Paige Pruitt Trust Organization, Norcross, GA Other Jun 17, 2024 23.85%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 120

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

View all 120

Practitioners & affiliated clinicians

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": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1225819014",
    "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": "34 N LAFAYETTE AVE # 36",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380122549",
            "telephone_number": "770-279-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH HOSPICE - TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "LYNETHIA",
        "authorized_official_middle_name": "NYTONYA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "770-806-6875"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth Hospice and Palliative Care - Western Tennessee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PruittHealth Hospice and Palliative Care - Western Tennessee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TN

Sources for this page

Verify at the official NPI Registry.