NPIMap

Organization Active NPI

Pruitthealth Home Health, Inc.

Doing business as PruittHealth @ Home - Valdosta

  • Home Health Agency
  • Valdosta, GA
National Provider Identifier
1912586272
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, INC.
Doing business as
PruittHealth @ Home - Valdosta
Practice address
312 Canna Drive
Valdosta, GA 31602-3160
Phone
(770) 279-6200
NPI assigned
Apr 5, 2021
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PRUITTHEALTH HOME HEALTH, INC.As reported in NPPES

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
Nicole Marie Clements
Title
Senior Corporate Paralegal
Phone
(678) 533-6395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

312 Canna Drive
Valdosta, GA 31602-3160

Mailing address

1626 Jeurgens Court
Legal Dept
Norcross, GA 30093-2219
Phone (770) 279-6200

Other names 1

  • PruittHealth @ Home - Valdosta 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
O20060117000114 GA Part A Provider - Home Health Agency 9032151246 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norcross, GA; Winder, GA; Monroe, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912586272. Details of each certification follow.

Home health agency certification: CCN 117118

Legal name
PRUITTHEALTH HOME HEALTH, INC.
Doing business as
PRUITTHEALTH @ HOME - ATLANTA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 5, 1997
Last certification
Feb 26, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 12, 1999 in GA
Enrollment address
1626 Jeurgens CT
Norcross, GA 30093-2219

Other NPIs on the same Medicare enrollment 7

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pruitthealth at Home - AtlantaCCN 117118 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 5, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Part of
Pruitthealth Home Health Inc

Locations

312 Canna Dr
Valdosta, GA 31602
Phone (229) 241-8750

Ownership & related parties

All disclosed owners & managing parties 11

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, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 2, 2006 100%
Philip W. Small Individual Corporate DirectorDirector Oct 5, 2016
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 31.65%
Neil Little Pruitt Individual Corporate OfficerChairman & Ceo 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 Apr 12, 1999
Marcus Allen Individual W-2 Managing EmployeeAd; Jun 2, 2025
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Holding company 5% Or Greater Indirect Ownership Interest Jan 2, 2006 100%
Thomas R Beddingfield Individual Corporate DirectorDirector Oct 5, 2016
United Health Services of Georgia, Inc. Organization, Toccoa, GA Corporation, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 7, 2008 100%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 31.32%

Practitioners & affiliated clinicians

Affiliated clinicians 46

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1912586272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS COURT",
            "address_2": "LEGAL DEPT",
            "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": "312 CANNA DRIVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023160",
            "telephone_number": "770-279-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRUITTHEALTH HOME HEALTH, INC.",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SENIOR CORPORATE PARALEGAL",
        "authorized_official_telephone_number": "678-533-6395"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "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 - Valdosta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.