Active NPI
Pruitthealth Home Health - South Atlanta, Inc.
- Home Health Agency
- Union City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC.
- Practice address
- 7345 Red Oak Road
Building 25
Union City, GA 30291-2391 - Phone
- (770) 254-8573
- Fax
- (770) 306-1032
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
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
- Phone
- (770) 279-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
7345 Red Oak Road
Building 25
Union City, GA 30291-2391
Mailing address
1626 Jeurgens Court
Legal Dept
Norcross, GA 30093-2219
Phone (770) 279-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00709816A | Medicaid | GA |
Other names 2
- PruittHealth @ Home - Union City
- PruittHealth Home Health - Union City
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
-
- Home Health Agency
- Macon, GA
- NPI 1043899321
O20041203000342
-
- Home Health Agency
- Albany, GA
- NPI 1134708415
O20041203000342
-
- Home Health Agency
- Griffin, GA
- NPI 1245278407
O20041203000342
-
- Home Health Agency
- Columbus, GA
- NPI 1760192439
O20041203000342
-
- Home Health Agency
- Cordele, GA
- NPI 1952980237
O20041203000342
-
- Home Health Agency
- Warm Springs, GA
- NPI 1538107131
O20041203000342
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Pruitthealth @ Home- Griffin
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Sep 5, 1989
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Pruitthealth Home Health - South Atlanta Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Macon, GA
- NPI 1043899321
-
- Home Health Agency
- Albany, GA
- NPI 1134708415
-
- Home Health Agency
- Griffin, GA
- NPI 1245278407
-
- Home Health Agency
- Columbus, GA
- NPI 1760192439
-
- Home Health Agency
- Cordele, GA
- NPI 1952980237
Locations
7345 Red Oak Rd
Bldg 25
Union City, GA 30291
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Darren R Pearce | W-2 Managing Employee | Apr 30, 2018 | 100% |
| United Health Services Inc | 5% Or Greater Indirect Ownership Interest | Jan 2, 2006 | 100% |
| Philip W. Small | Corporate Director | Oct 5, 2016 | |
| Pruitthealth Inc | Operational/Managerial Control | Jan 7, 2008 | |
| Lisa P Hamby Trust | 5% Or Greater Indirect Ownership Interest | Jan 2, 2006 | 31.65% |
| Neil Little Pruitt | Corporate Officer | Mar 3, 2003 | 100% |
| Corporate Director | Mar 3, 2003 | ||
| Operational/Managerial Control | Mar 3, 2003 | 100% | |
| Other | Mar 3, 2003 | 100% | |
| Neil L Pruitt Jr Trust | 5% Or Greater Indirect Ownership Interest | Jan 2, 2006 | 35.93% |
| Nancy W Pruitt | Corporate Officer | Sep 23, 2004 | |
| Susan Hinton | W-2 Managing Employee | Apr 18, 2021 | 100% |
| Uhs-Pruitt Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Jan 2, 2006 | 100% |
| Thomas R Beddingfield | Corporate Director | Oct 5, 2016 | 100% |
| United Health Services of Georgia, Inc. | 5% Or Greater Direct Ownership Interest | Jan 7, 2008 | |
| J Paige Pruitt Trust | 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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1568512549
Home health agency
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Newnan, GA
- NPI 1457440281
Home health agency
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1457670358
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761177600000",
"number": "1942248331",
"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",
"fax_number": "770-931-5278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 RED OAK ROAD",
"address_2": "BUILDING 25",
"city": "UNION CITY",
"state": "GA",
"postal_code": "302912391",
"telephone_number": "770-254-8573",
"fax_number": "770-306-1032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"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",
"authorized_official_telephone_number": "770-279-6200",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00709816A",
"state": "GA"
}
],
"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 - Union City",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PruittHealth Home Health - Union City",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PruittHealth Home Health - Union City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Union City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.