NPIMap

Organization Active NPI

Pruitthealth - Macon, LLC

Doing business as PruittHealth - Macon

  • Skilled Nursing Facility
  • Macon, GA
National Provider Identifier
1710934237
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-011-218 Issued in GA
Legal business name
PRUITTHEALTH - MACON, LLC
Doing business as
PruittHealth - Macon
Practice address
2255 Anthony Rd
Macon, GA 31204-5823
Phone
(478) 784-7900
NPI assigned
May 29, 2006
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 1-011-218 GA Primary

Addresses

Primary practice location

2255 Anthony Rd
Macon, GA 31204-5823

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00141908AMedicaidGA

Other names 1

  • PruittHealth - Macon Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060501000462 GA Part A Provider - Skilled Nursing Facility 7113937442 Practice locations: Macon, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710934237. Details of each certification follow.

Skilled nursing facility certification: CCN 115288

Legal name
PRUITTHEALTH - MACON, LLC
Doing business as
PRUITTHEALTH - MACON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1982
Last certification
May 15, 2025
Beds
228
Ownership / control type
Corporation
Multi-facility organization
Pruitthealth
Organization structure
LLCProprietary
Incorporated
Sep 25, 2007 in GA
Enrollment address
2255 Anthony Rd
Macon, GA 31204-5823
Nursing home name
PRUITTHEALTH - MACON
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - MaconCCN 115288 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
228176.7 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
11D0645831Pruitthealth- Macon, LLC2255 Anthony Road, Macon, GA 31204Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
United Health Services Inc Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 25, 2007 100%
Pruitthealth Inc Organization, Toccoa, GA Corporation, For-profit Other Sep 25, 2007 100%
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 25, 2007 28.84%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Mar 3, 2003 100%
Corporate DirectorChairman and Ceo Mar 3, 2003 100%
Operational/Managerial ControlChain Home Office Administrator Mar 3, 2003 100%
OtherCho Administrator Mar 3, 2003 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 25, 2007 35.2%
Angela Readd Individual W-2 Managing EmployeeFacility Administrator Feb 28, 2022 100%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 25, 2007 100%
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Direct Ownership Interest Sep 25, 2007 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 25, 2007 26.13%

Facilities with the same owner 123

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

  • Pruitthealth - Ashburn LLC

    dba PruittHealth - Ashburn

    • 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

    dba PruittHealth - Athens Heritage

    • Skilled Nursing Facility
    • Athens, GA
    • NPI 1316993769

    J Paige Pruitt Trust, Lisa P Hamby Trust

    CMS ownership
  • Pruitthealth - Augusta Hills LLC

    dba PruittHealth - Augusta Hills

    • Skilled Nursing Facility
    • Augusta, GA
    • NPI 1235186974

    United Health Services Inc

    CMS ownership
  • Pruitthealth - Augusta, LLC

    dba PruittHealth - Augusta

    • 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

    dba PruittHealth - Austell

    • 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

    dba PruittHealth - Bethany

    • 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

    dba PruittHealth - Blue Ridge

    • 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

    dba PruittHealth - Brookhaven

    • 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

    dba Christian City Rehabilitation Center

    • 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 - Covington LLC

    dba PruittHealth - Covington

    • Skilled Nursing Facility
    • Covington, GA
    • NPI 1457797177

    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, United Health Services Inc, United Health Services of Georgia, Inc.

    CMS ownership
View all 123

Practitioners & affiliated clinicians

Practitioners 6

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 4

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": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1710934237",
    "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": "2255 ANTHONY RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312045823",
            "telephone_number": "478-784-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - MACON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2014-07-02",
        "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": "1-011-218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141908A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Macon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.