NPIMap

Organization Active NPI

Pruitthealth Hospice - Tennessee, Inc.

Doing business as Pruitthealth Hospice and Palliative Care Western Tennessee

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Brownsville, TN
National Provider Identifier
1760303952
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
PRUITTHEALTH HOSPICE - TENNESSEE, INC.
Doing business as
Pruitthealth Hospice and Palliative Care Western Tennessee
Practice address
34 N Lafayette Ave # 36
Brownsville, TN 38012-2549
Phone
(770) 279-6200
NPI assigned
Jul 23, 2026
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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 Specialist
Phone
(770) 806-6875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X Primary

Addresses

Primary practice location

34 N Lafayette Ave # 36
Brownsville, TN 38012-2549

Mailing address

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

Other names 1

  • PRUITTHEALTH HOSPICE AND PALLIATIVE CARE WESTERN TENNESSEE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pruitthealth Hospice - Tennessee Inc2 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1760303952",
    "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": "34 N LAFAYETTE AVE # 36",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380122549",
            "telephone_number": "770-279-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH HOSPICE - TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "LYNETHIA",
        "authorized_official_middle_name": "NYTONYA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "770-806-6875"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRUITTHEALTH HOSPICE AND PALLIATIVE CARE WESTERN TENNESSEE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.