Organization Active NPI

Pruitthealth - Marietta, LLC

Doing business as PruittHealth - Marietta

  • Skilled Nursing Facility
  • Marietta, GA
National Provider Identifier
1366789505
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-033-1793 Issued in GA
Legal business name
PRUITTHEALTH - MARIETTA, LLC
Doing business as
PruittHealth - Marietta
Practice address
50 Saine Dr SW
Marietta, GA 30008-3824
Phone
(770) 429-8600
NPI assigned
Jan 8, 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
Mr. Neil L Pruitt Jr.
Title
Chairman and Ceo of Manager
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-033-1793 GA Primary

Addresses

Primary practice location

50 Saine Dr SW
Marietta, GA 30008-3824

Mailing address

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

Other names 1

  • PruittHealth - Marietta Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130311000156 GA Part A Provider - Skilled Nursing Facility 1850546227 Practice locations: Marietta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366789505. Details of each certification follow.

Skilled nursing facility certification: CCN 115276

Legal name
PRUITTHEALTH - MARIETTA, LLC
Doing business as
PRUITTHEALTH - MARIETTA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1981
Last certification
Jan 16, 2025
Beds
119
Ownership / control type
Corporation
Multi-facility organization
PRUITTHEALTH
Organization structure
LLCProprietary
Incorporated
Nov 16, 2012 in GA
Enrollment address
50 Saine Dr SW
Marietta, GA 30008-3824
Nursing home name
PRUITTHEALTH - MARIETTA
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - MariettaCCN 115276 · 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 - Corporation
Certified
Jan 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
119106.5 residents per day on average
Chain
Pruitthealth95 facilities in the chain
Penalties (3 years)
1Fines totaling $8,948

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
11D0254925Pruitthealth-Marietta, LLC50 Saine Drive, SW, Marietta, GA 30008Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Marietta Health and Rehabilitation Center 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.

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
Individual Adp of the SNF Jun 1, 2008
Individual Adp of the SNF Nov 11, 2019
United Health Services Inc Organization, Norcross, GA Created for acquisition, Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 17, 2012 100%
Indirect Ownership Interest Nov 27, 2013 100%
Individual Adp of the SNF Aug 5, 2011
Philip W. Small Individual Managing Control - Governing BodyDirector Jan 3, 2011
Emmanuel O Onasile Individual Operational/Managerial Control Mar 21, 2022
Adp of the SNF Feb 12, 2026
Organization, Norcross, GA Adp of the SNF Aug 12, 2020
Indirect Ownership Interest Aug 12, 2020 6.29%
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jun 5, 2003 21.44%
Adp of the SNF Jun 5, 2003
Neil Little Pruitt Individual 5% Or Greater Direct Ownership InterestCeo Nov 27, 2013 1%
Corporate DirectorChairman and Ceo Nov 16, 2012 100%
Rebecca a Carruth Individual Operational/Managerial Control Jul 21, 2024
Adp of the SNF Apr 7, 2025
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jun 5, 2003 42.86%
Adp of the SNF Jun 5, 2003
NWP 2020 Child TR Fbo Neil L Pruitt Jr Organization, Norcross, GA Indirect Ownership Interest Aug 12, 2020 2.4%
Organization, Norcross, GA Indirect Ownership Interest Aug 12, 2020 2.5%
Pruitthealth Consulting Services Inc Organization, Norcross, GA Corporation Adp of the SNF Nov 26, 2013
Organization, Norcross, GA Adp of the SNF Jan 14, 2025
Indirect Ownership Interest Jan 14, 2025 1.59%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Holding company 5% Or Greater Indirect Ownership Interest Dec 17, 2012
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 17, 2012 99%
Direct Ownership Interest Nov 27, 2013 99%
Marietta Healthcare Properties Inc Organization, Norcross, GA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 9, 2012
Adp of the SNF Oct 9, 2012
Indirect Ownership Interest Oct 9, 2012
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jun 5, 2003 21.44%
Adp of the SNF Jun 5, 2003
Indirect Ownership Interest Jun 5, 2003 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": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1366789505",
    "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": "50 SAINE DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300083824",
            "telephone_number": "770-429-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - MARIETTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "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_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-033-1793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Marietta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.