Organization Active NPI

Pruitthealth - Sylvester, LLC

Doing business as PruittHealth - Sylvester

  • Skilled Nursing Facility
  • Sylvester, GA
National Provider Identifier
1700299922
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRUITTHEALTH - SYLVESTER, LLC
Doing business as
PruittHealth - Sylvester
Practice address
104 Monk St
Sylvester, GA 31791-7246
Phone
(229) 776-5541
Fax
(229) 776-9712
NPI assigned
Jun 5, 2014
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 & Ceo of Manager
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

104 Monk St
Sylvester, GA 31791-7246

Mailing address

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

Other names 1

  • PruittHealth - Sylvester Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140814002556 GA Part A Provider - Skilled Nursing Facility 0840417820 Practice locations: Sylvester, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700299922. Details of each certification follow.

Skilled nursing facility certification: CCN 115629

Legal name
PRUITTHEALTH - SYLVESTER, LLC
Doing business as
PRUITTHEALTH - SYLVESTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1997
Last certification
Apr 25, 2025
Beds
117
Ownership / control type
Corporation
Multi-facility organization
Pruitthealth
Most recent change of ownership
Apr 11, 2014
Organization structure
LLCProprietary
Incorporated
May 21, 2012 in GA
Enrollment address
104 Monk Street
Sylvester, GA 31791-7246
Nursing home name
PRUITTHEALTH - SYLVESTER
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - SylvesterCCN 115629 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
117107.3 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
11D0676337Pruitthealth - Sylvester, LLC104 Monk Street, Sylvester, GA 31791Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

104 Monk St
Sylvester, GA 31791
Phone (229) 776-5541

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Uhs- Pruitt Holdings Inc Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest May 21, 2012 99%
George R Brown Individual W-2 Managing EmployeeFacility Administrator Apr 25, 2022 100%
United Health Services Inc Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest May 21, 2012 99%
Julia E Compton Individual W-2 Managing EmployeeFacility Administrator Jul 12, 2021 100%
Pruitthealth Inc Organization, Norcross, GA For-profit Operational/Managerial Control May 21, 2012 99%
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest May 21, 2012 31.3%
Neil Little Pruitt Individual OtherCho Administrator/Ao May 21, 2012
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest May 21, 2012 35.5%
Gerardo Pollock Individual W-2 Managing EmployeeFacility Administrator Jan 11, 2021 100%
United Health Services of Georgia, Inc. Organization, Norcross, GA For-profit 5% Or Greater Direct Ownership Interest May 21, 2012 99%
Cynthia Watson Individual W-2 Managing EmployeeFacility Administrator May 26, 2021 100%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest May 21, 2012 31.01%

Facilities with the same owner 122

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

View all 122

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 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": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1700299922",
    "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",
            "fax_number": "770-931-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MONK ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317917246",
            "telephone_number": "229-776-5541",
            "fax_number": "229-776-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - SYLVESTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRMAN & 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Sylvester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvester, GA

Sources for this page

Verify at the official NPI Registry.