Pruitthealth - Covington LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PRUITTHEALTH - COVINGTON LLC

Practice address

4148 Carroll St SW
Covington, GA 30014-2706

Phone

(770) 786-0427

NPI assigned

May 21, 2013

Organization subpart

No

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

Addresses

Other names 1

• PruittHealth - Covington Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Skilled nursing facility certification: CCN 115588

Legal name

PRUITTHEALTH - COVINGTON, LLC

Doing business as

PRUITTHEALTH - COVINGTON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1995

Last certification

Mar 1, 2025

Beds

71

Ownership / control type

Corporation

Multi-facility organization

Pruitthealth

Organization structure

LLCProprietary

Incorporated

Oct 1, 2012 in GA

Enrollment address

4148 Carroll St SW
Covington, GA 30014-2706

Nursing home name

PRUITTHEALTH - COVINGTON

Affiliated entity

PRUITTHEALTH

Listed as

Pruitthealth - CovingtonCCN 115588

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7165.9 residents per day on average

Chain

Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Covington Manor Nursing Home LLC2 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.

• Covington Manor Nursing Home, LLC

  • Skilled Nursing Facility
  • Covington, GA
  • NPI 1932200730
  NPD tax ID

All disclosed owners & managing parties 20

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

Facilities with the same owner 124

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

• Pruitthealth - Ashburn LLC

  • Skilled Nursing Facility
  • Ashburn, GA
  • NPI 1851347108

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Athens Heritage LLC

  • Skilled Nursing Facility
  • Athens, GA
  • NPI 1316993769

  J Paige Pruitt Trust, Lisa P Hamby Trust

  CMS ownership
• Pruitthealth - Augusta Hills LLC

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1235186974

  United Health Services Inc

  CMS ownership
• Pruitthealth - Augusta, LLC

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1295908846

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Austell, LLC

  • Skilled Nursing Facility
  • Austell, GA
  • NPI 1386690642

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Bethany, LLC

  • Skilled Nursing Facility
  • Millen, GA
  • NPI 1184924458

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Blue Ridge, LLC

  • Skilled Nursing Facility
  • Blue Ridge, GA
  • NPI 1730136599

  Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Brookhaven, LLC

  • Skilled Nursing Facility
  • Atlanta, GA
  • NPI 1336196468

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Christian City, LLC

  • Skilled Nursing Facility
  • Union City, GA
  • NPI 1720221328

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Creekside, LLC

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1104536077

  United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Crestwood, LLC

  • Skilled Nursing Facility
  • Valdosta, GA
  • NPI 1063036200

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, NWP 2020 Child TR Fbo Neil L Pruitt Jr, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Decatur, LLC

  • Skilled Nursing Facility
  • Decatur, GA
  • NPI 1134458920

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership

Practitioners 2

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

• Vamsi Kanagala, M.D.

  • Internal Medicine Physician
  • Sandy Springs, GA
  • NPI 1952712788
  NPD (past)
• Amar Mohan, MD

  • Internal Medicine Physician
  • Monroe, GA
  • NPI 1578724886
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Alem Desta Turpeau, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1922260819

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1457797177",
    "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": "4148 CARROLL ST SW",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142706",
            "telephone_number": "770-786-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - COVINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Covington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Covington, GA
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.