Active NPI
Pruitthealth - Lithonia LLC
- Skilled Nursing Facility
- Lithonia, GA
National Provider Identifier
1689534380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PRUITTHEALTH - LITHONIA LLC
- Practice address
- 2816 Evans Mill Rd
Lithonia, GA 30058-7440 - Phone
- (770) 279-6200
- NPI assigned
- Nov 14, 2025
- Last updated
- Nov 14, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
2816 Evans Mill Rd
Lithonia, GA 30058-7440
Mailing address
1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (770) 279-6200
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2335044 | Pruitthealth- Lithonia, LLC | Certificate of waiver | Dec 4, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1689534380",
"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": "2816 EVANS MILL RD",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300587440",
"telephone_number": "770-279-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRUITTHEALTH - LITHONIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-14",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithonia, GA
- Presidential Care Inc.
- Priority Health Plus Care,Inc
- Professional Dental Alliance of Lithonia, LLC
- Professional Nursing Services (n/a)
- Tawana Diane Pruitt, MPA, RBT
- Public Health Development Healthcare LLC
- Publix Super Markets Inc (Publix Pharmacy #0752)
- Purdy Medical Wigs & DME Supplier LLC
- Purdy Medical Wigs & DME Supplier LLC
- Quality Care Professional Transport LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.