Organization Active NPI

Pruitthealth - Fitzgerald, LLC

Doing business as Pruitt-Health - FItzgerald

  • Skilled Nursing Facility
  • Fitzgerald, GA
National Provider Identifier
1336486661
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-009-1950 Issued in GA
Legal business name
PRUITTHEALTH - FITZGERALD, LLC
Doing business as
Pruitt-Health - FItzgerald
Practice address
185 Bowens Mill Hwy
Fitzgerald, GA 31750-7803
Phone
(229) 423-4361
NPI assigned
Jan 7, 2013
Last updated
Jun 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 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 1-009-1950 GA Primary

Addresses

Primary practice location

185 Bowens Mill Hwy
Fitzgerald, GA 31750-7803

Mailing address

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

Other names 1

  • Pruitt-Health - FItzgerald Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130306000366 GA Part A Provider - Skilled Nursing Facility 5597910026 Practice locations: Fitzgerald, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336486661. Details of each certification follow.

Skilled nursing facility certification: CCN 115617

Legal name
PRUITTHEALTH - FITZGERALD, LLC
Doing business as
PRUITTHEALTH - FITZGERALD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 14, 1996
Last certification
Sep 1, 2024
Beds
78
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Pruitthealth
Organization structure
LLCProprietary
Incorporated
May 21, 2012 in GA
Enrollment address
185 Bowens Mill Hwy
Fitzgerald, GA 31750-7803
Nursing home name
PRUITTHEALTH - FITZGERALD
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - FitzgeraldCCN 115617 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 14, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7869.3 residents per day on average
Chain
Pruitthealth95 facilities in the chain

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
11D0646157Pruitthealth-Fitzgerald, LLC185 Bowens Mill Highway, Fitzgerald, GA 31750Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
James S Sinclair Individual Operational/Managerial Control Mar 15, 2021
Adp of the SNF Mar 6, 2026
Organization, Norcross, GA Corporation Adp of the SNF Oct 9, 2012
Indirect Ownership Interest Oct 9, 2012
Organization, Norcross, GA Adp of the SNF Jan 14, 2025
Indirect Ownership Interest Aug 12, 2020 6.29%
United Health Services Inc Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest May 21, 2012 99%
Organization, Norcross, GA Indirect Ownership Interest Aug 12, 2020 2.4%
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Aug 12, 2020 22.98%
Adp of the SNF Aug 12, 2020
Indirect Ownership Interest Aug 12, 2020 22.98%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo May 21, 2012 100%
Corey Langston Individual Operational/Managerial Control Feb 19, 2024
Adp of the SNF Mar 6, 2026
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Aug 12, 2020 42.86%
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 Aug 12, 2020 2.4%
Nancy W Pruitt Individual Corporate OfficerSecretary/Director Nov 27, 2013
Individual Adp of the SNF Nov 27, 2013
Individual Adp of the SNF Nov 27, 2013
Organization, Norcross, GA Adp of the SNF Jan 14, 2025
Indirect Ownership Interest Jan 14, 2025 1.59%
Pruitthealth Consulting Services Inc Organization, Norcross, GA Corporation Adp of the SNF Nov 26, 2013
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest May 21, 2012 99%
Individual Adp of the SNF Nov 11, 2019
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Direct Ownership Interest May 21, 2012 99%
Direct Ownership Interest May 12, 2012 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Aug 12, 2020 21.44%
Adp of the SNF Aug 12, 2020
Indirect Ownership Interest Aug 18, 2020 21.44%

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 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": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1336486661",
    "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": "185 BOWENS MILL HWY",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317507803",
            "telephone_number": "229-423-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - FITZGERALD, 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": "1-009-1950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pruitt-Health - FItzgerald",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitzgerald, GA

Sources for this page

Verify at the official NPI Registry.