NPIMap

Organization Active NPI

Pruitthealth Home Health - South Atlanta, Inc.

  • Home Health Agency
  • Columbus, GA
National Provider Identifier
1760192439
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC.
Practice address
1725 Williams Rd
Columbus, GA 31904-1601
Phone
(706) 561-0855
NPI assigned
Dec 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynethia Nytonya Holley
Title
Provider Enrollment Specilist
Phone
(678) 296-0751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1725 Williams Rd
Columbus, GA 31904-1601

Mailing address

1626 Jeurgens CT
Legal Dept
Norcross, GA 30093-1601
Phone (678) 296-0751

Other names 1

  • PruittHealth @ Home - Columbus Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041203000342 GA Part A Provider - Home Health Agency 6204892003 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albany, GA; Union City, GA; Macon, GA; Cordele, GA; Columbus, GA; Griffin, GA

Home health agency certification: CCN 117092

Legal name
PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC
Doing business as
PRUITTHEALTH @ HOME - GRIFFIN
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 5, 1989
Last certification
Feb 21, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationProprietary
Incorporated
Sep 23, 2004 in GA
Enrollment address
147 W Ellis Rd
Ste B&C
Griffin, GA 30223-7147

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pruitthealth @ Home- GriffinCCN 117092
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Sep 5, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
11D2273325Pruitthealth at Home- Columbus1725 Williams Road, Columbus, GA 31904Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pruitthealth Home Health - South Atlanta Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 W Oak St
Griffin, GA 30224
Phone (770) 228-0525

147 W Ellis Rd
Griffin, GA 30223
Phone (770) 228-0525

770 Greison Trl
Ste B
Newnan, GA 30263
Phone (770) 254-8573

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Darren R Pearce Individual W-2 Managing EmployeeRegional Administrator Apr 30, 2018 100%
United Health Services Inc Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2006 100%
Philip W. Small Individual Corporate DirectorDirector Oct 5, 2016
Pruitthealth Inc Organization, Toccoa, GA Operational/Managerial Control Jan 7, 2008
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 31.65%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Mar 3, 2003 100%
Corporate DirectorChairman and Ceo Mar 3, 2003
Operational/Managerial ControlChain Home Office Administrator Mar 3, 2003 100%
OtherChain Home Office Admin./Ao Mar 3, 2003 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 35.93%
Nancy W Pruitt Individual Corporate OfficerSecretary Sep 23, 2004
Susan Hinton Individual W-2 Managing EmployeeFacility Administrator Apr 18, 2021 100%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2006 100%
Thomas R Beddingfield Individual Corporate DirectorDirector Oct 5, 2016 100%
United Health Services of Georgia, Inc. Organization, Toccoa, GA 5% Or Greater Direct Ownership Interest Jan 7, 2008
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 31.32%

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1760192439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS CT",
            "address_2": "LEGAL DEPT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931601",
            "telephone_number": "678-296-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 WILLIAMS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319041601",
            "telephone_number": "706-561-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "LYNETHIA",
        "authorized_official_middle_name": "NYTONYA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECILIST",
        "authorized_official_telephone_number": "678-296-0751"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PruittHealth @ Home - Columbus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.