NPIMap

Organization Active NPI

Pruitthealth - Evans, LLC

  • Skilled Nursing Facility
  • Evans, GA
National Provider Identifier
1730964180
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRUITTHEALTH - EVANS, LLC
Practice address
561 University Dr
Evans, GA 30809-3092
Phone
(770) 279-6200
NPI assigned
Aug 25, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

561 University Dr
Evans, GA 30809-3092

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426002336 GA Part A Provider - Skilled Nursing Facility 2365882180 Practice locations: Evans, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730964180. Details of each certification follow.

Skilled nursing facility certification: CCN 115336

Legal name
PRUITTHEALTH - EVANS LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 15, 1986
Last certification
Jan 18, 2024
Beds
149
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Pruitthealth
Organization structure
LLCProprietary
Enrollment address
561 University Dr
Evans, GA 30809-3092
Nursing home name
PRUITTHEALTH - EVANS, LLC
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - Evans, LLCCCN 115336 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 15, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
149128.8 residents per day on average
Chain
Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Pruitthealth - Evans2 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 10

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

NameRoleSinceShare
Erica Roberts Individual W-2 Managing EmployeeAd; Oct 1, 2023
United Health Services Inc Organization, Norcross, GA Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2023 100%
Pruitthealth Inc Organization, Norcross, GA Chain home office Other Oct 1, 2023
Lisa P Hamby Trust Organization, Norcross, GA Other Oct 1, 2023
Neil Little Pruitt Individual 5% Or Greater Direct Ownership InterestChairman/Ceo Oct 1, 2023 1%
Corporate OfficerChairman/Ceo Oct 1, 2023
Corporate Director Oct 1, 2023
Other Oct 1, 2023
Neil L Pruitt Jr Trust Organization, Norcross, GA Other Oct 1, 2023
Nancy W Pruitt Individual Corporate OfficerSecretary Oct 1, 2023
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2023 100%
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2023 99%
J Paige Pruitt Trust Organization, Norcross, GA Other Oct 1, 2023

Facilities with the same owner 121

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

View all 121

Practitioners & affiliated clinicians

Practitioners 2

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 2

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": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1730964180",
    "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": "561 UNIVERSITY DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093092",
            "telephone_number": "770-279-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - EVANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN & CEO",
        "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": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.