Organization Active NPI

Pruitthealth - West Atlanta, LLC

  • Skilled Nursing Facility
  • Atlanta, GA
National Provider Identifier
1881641306
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-060-1647 Issued in GA
Legal business name
PRUITTHEALTH - WEST ATLANTA, LLC
Practice address
2645 Whiting St NW
Atlanta, GA 30318-4563
Phone
(404) 799-9267
NPI assigned
May 29, 2006
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 1-060-1647 GA Primary

Addresses

Primary practice location

2645 Whiting St NW
Atlanta, GA 30318-4563

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00256088AMedicaidGA

Other names 1

  • PruittHealth - West Atlanta Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050623000107 GA Part A Provider - Skilled Nursing Facility 4981649696 Practice locations: Atlanta, GA

Skilled nursing facility certification: CCN 115512

Legal name
PRUITTHEALTH - WEST ATLANTA, LLC
Doing business as
PRUITTHEALTH - WEST ATLANTA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 31, 1990
Last certification
May 19, 2024
Beds
120
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Sep 24, 2007 in GA
Enrollment address
2645 Whiting St NW
Atlanta, GA 30318-4563
Nursing home name
PRUITTHEALTH - WEST ATLANTA
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - West AtlantaCCN 115512
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 31, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120100.5 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
11D0719207Pruitthealth - West Atlanta, LLC2645 Whiting Street NW, Atlanta, GA 30318Certificate of waiverAug 31, 2026

National Provider Directory

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
Delores Scroggs Individual W-2 Managing EmployeeFacility Administrator Mar 29, 2021 100%
United Health Services Inc Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 24, 2007 100%
Pruitthealth Inc Organization, Toccoa, GA Corporation, For-profit Other Sep 24, 2007 100%
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 24, 2007 28.84%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Sep 24, 2007 100%
Corporate DirectorChairman and Ceo Sep 24, 2007 100%
Operational/Managerial ControlChain Home Office Administrator Sep 24, 2007 100%
OtherChain Home Office Administrator Sep 24, 2007 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 24, 2007 35.2%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 24, 2007 100%
Susan J Sullivan Individual W-2 Managing EmployeeFacility Administrator Sep 28, 2018 100%
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Direct Ownership Interest Sep 24, 2007 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 24, 2007 26.13%

Facilities with the same owner 123

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

View all 123

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1881641306",
    "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": "2645 WHITING ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184563",
            "telephone_number": "404-799-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - WEST ATLANTA, 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": "1-060-1647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00256088A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - West Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.