Organization Active NPI

Pruitthealth - Augusta, LLC

  • Skilled Nursing Facility
  • Augusta, GA
National Provider Identifier
1295908846
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-121-1724 Issued in GA
Legal business name
PRUITTHEALTH - AUGUSTA, LLC
Practice address
2541 Milledgeville Road
Augusta, GA 30904-4954
Phone
(706) 738-2581
Fax
(706) 738-5235
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-121-1724 GA Primary

Addresses

Primary practice location

2541 Milledgeville Road
Augusta, GA 30904-4954

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
000059463AMedicaidGA

Other names 1

  • PruittHealth - Augusta Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090212000729 GA Part A Provider - Skilled Nursing Facility 7517022247 Practice locations: Augusta, GA

Skilled nursing facility certification: CCN 115334

Legal name
PRUITTHEALTH - AUGUSTA, LLC
Doing business as
PRUITTHEALTH - AUGUSTA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1986
Last certification
Jan 11, 2024
Beds
100
Ownership / control type
Corporation
Multi-facility organization
Pruitthealth
Organization structure
LLCProprietary
Incorporated
Mar 27, 2008 in GA
Enrollment address
2541 Milledgeville Rd
Augusta, GA 30904-4954
Nursing home name
PRUITTHEALTH - AUGUSTA
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
PruittHealth - AugustaCCN 115334
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10084.6 residents per day on average
Chain
Pruitthealth95 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
6Fines totaling $180,483

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
11D0725439Pruitthealth- Augusta, LLC2541 Milledgeville Road, Augusta, GA 30904Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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
United Health Services Inc Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 27, 2008 99%
Pruitthealth Inc Organization, Toccoa, GA Corporation, For-profit Operational/Managerial Control Dec 1, 2008
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Mar 27, 2008 31.9%
Neil Little Pruitt Individual Operational/Managerial Control Dec 1, 2018
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Mar 27, 2008 36.5%
Christina Lynn Engel Individual W-2 Managing EmployeeFacility Administrator Jun 2, 2019 100%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 27, 2008 99%
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Mar 27, 2008 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Mar 27, 2008 29.4%

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 4

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

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1295908846",
    "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",
            "fax_number": "770-925-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 MILLEDGEVILLE ROAD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044954",
            "telephone_number": "706-738-2581",
            "fax_number": "706-738-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - AUGUSTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2014-04-23",
        "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": "1-121-1724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000059463A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Augusta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.