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Organization Active NPI

Pruitthealth - Athens Heritage LLC

Doing business as PruittHealth - Athens Heritage

  • Skilled Nursing Facility
  • Athens, GA
National Provider Identifier
1316993769
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-029-953 Issued in GA
Legal business name
PRUITTHEALTH - ATHENS HERITAGE LLC
Doing business as
PruittHealth - Athens Heritage
Practice address
960 Hawthorne Ave
Athens, GA 30606-2140
Phone
(706) 549-1613
Fax
(706) 549-1639
NPI assigned
May 26, 2006
Last updated
Jul 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-029-953 GA Primary

Addresses

Primary practice location

960 Hawthorne Ave
Athens, GA 30606-2140

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00141391AMedicaidGA

Other names 1

  • PruittHealth - Athens Heritage Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050824000302 GA Part A Provider - Skilled Nursing Facility 9234160888 Practice locations: Athens, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316993769. Details of each certification follow.

Skilled nursing facility certification: CCN 115509

Legal name
PRUITTHEALTH - ATHENS HERITAGE, LLC
Doing business as
PRUITTHEALTH - ATHENS HERITAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 22, 1990
Last certification
May 16, 2024
Beds
104
Ownership / control type
Individual
Multi-facility organization
PRUITTHEALTH
Organization structure
LLCProprietary
Enrollment address
960 Hawthorne Ave
Athens, GA 30606-2140
Nursing home name
PRUITTHEALTH - ATHENS HERITAGE
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - Athens HeritageCCN 115509 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Aug 22, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10487.7 residents per day on average
Chain
Pruitthealth95 facilities in the chain
Penalties (3 years)
3Fines totaling $16,801

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Individual Adp of the SNF Nov 27, 2013
NWP 2020 Child TR Fbo Lisa P Hamby Organization, Norcross, GA Adp of the SNF Jun 22, 2021
Indirect Ownership Interest Jun 22, 2021 2.4%
United Health Services Inc Organization, Norcross, GA Corporation, Holding company, Owned by another organization or individual Indirect Ownership Interest Nov 27, 2013 99%
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 19, 2007 31.33%
Adp of the SNF Aug 12, 2020
Indirect Ownership Interest Aug 12, 2020 22.98%
Neil Little Pruitt Individual 5% Or Greater Direct Ownership InterestCeo Nov 27, 2013 1%
Direct Ownership Interest Nov 27, 2013 1%
Neil L Pruitt Jr Trust Organization, Norcross, GA Adp of the SNF Aug 12, 2020
Indirect Ownership Interest Aug 12, 2020 42.86%
NWP 2020 Child TR Fbo Neil L Pruitt Jr Organization, Norcross, GA Indirect Ownership Interest Jun 22, 2021 2.4%
NWP 2020 Child TR Fbo J Paige Pruitt Organization, Norcross, GA Adp of the SNF Jun 22, 2021
Indirect Ownership Interest Jun 22, 2021 2.4%
Janel Baily Individual Operational/Managerial Control Mar 3, 2025
Adp of the SNF Jun 11, 2025
Arpit a Shah Individual Operational/Managerial Control Aug 2, 2022
Adp of the SNF Jun 21, 2025
Individual Adp of the SNF Nov 27, 2013
Individual Adp of the SNF Nov 11, 2019
Athens Heritage Properties, Inc Organization, Norcross, GA Corporation Adp of the SNF Jan 24, 2011
Direct Ownership Interest Nov 27, 2013 99%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Holding company Indirect Ownership Interest Sep 19, 2007 99%
Pruitthealth Consulting Services, Inc. Organization, Norcross, GA Corporation Adp of the SNF Nov 26, 2013
Pruitt Family Trust Organization, Norcross, GA Adp of the SNF Jun 22, 2021
Indirect Ownership Interest Jun 22, 2021 1.59%
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, Owned by another organization or individual Direct Ownership Interest Nov 27, 2013 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 19, 2007 31.01%
Adp of the SNF Jun 22, 2021

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 114

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

View all 114

Practitioners & affiliated clinicians

Practitioners 3

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 3

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1316993769",
    "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": "960 HAWTHORNE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062140",
            "telephone_number": "706-549-1613",
            "fax_number": "706-549-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - ATHENS HERITAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-07-25",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-029-953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141391A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Athens Heritage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.