Pruitthealth - Magnolia Manor, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-035-1653 Issued in GA

Legal business name

PRUITTHEALTH - MAGNOLIA MANOR, LLC

Doing business as

PruittHealth - Magnolia Manor

Practice address

3003 Veterans Parkway South
Moultrie, GA 31788-6705

Phone

(229) 985-3422

Fax

(229) 985-0227

NPI assigned

May 29, 2006

Last updated

Jun 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Neil L Pruitt Jr.

Title

Chairman and Ceo

Phone

(770) 279-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PruittHealth - Magnolia Manor Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982651402. Details of each certification follow.

• CCN 115326 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 115326

Legal name

PRUITTHEALTH - MAGNOLIA MANOR, LLC

Doing business as

PRUITTHEALTH - MAGNOLIA MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1984

Last certification

Nov 1, 2024

Beds

100

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Pruitt Health

Organization structure

LLCProprietary

Incorporated

Sep 19, 2007 in GA

Enrollment address

3003 Veterans Pkwy S
Moultrie, GA 31788-6705

Nursing home name

PRUITTHEALTH - MAGNOLIA MANOR

Affiliated entity

PRUITTHEALTH

Listed as

Pruitthealth - Magnolia ManorCCN 115326 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10085.5 residents per day on average

Chain

Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 9

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

Facilities with the same owner 123

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

• Pruitthealth - Ashburn LLC

  dba PruittHealth - Ashburn

  • Skilled Nursing Facility
  • Ashburn, GA
  • NPI 1851347108

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Athens Heritage LLC

  dba PruittHealth - Athens Heritage

  • Skilled Nursing Facility
  • Athens, GA
  • NPI 1316993769

  J Paige Pruitt Trust, Lisa P Hamby Trust

  CMS ownership
• Pruitthealth - Augusta Hills LLC

  dba PruittHealth - Augusta Hills

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1235186974

  United Health Services Inc

  CMS ownership
• Pruitthealth - Augusta, LLC

  dba PruittHealth - Augusta

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1295908846

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Austell, LLC

  dba PruittHealth - Austell

  • Skilled Nursing Facility
  • Austell, GA
  • NPI 1386690642

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Bethany, LLC

  dba PruittHealth - Bethany

  • Skilled Nursing Facility
  • Millen, GA
  • NPI 1184924458

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Blue Ridge, LLC

  dba PruittHealth - Blue Ridge

  • Skilled Nursing Facility
  • Blue Ridge, GA
  • NPI 1730136599

  Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Brookhaven, LLC

  dba PruittHealth - Brookhaven

  • Skilled Nursing Facility
  • Atlanta, GA
  • NPI 1336196468

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Christian City, LLC

  dba Christian City Rehabilitation Center

  • Skilled Nursing Facility
  • Union City, GA
  • NPI 1720221328

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Covington LLC

  dba PruittHealth - Covington

  • Skilled Nursing Facility
  • Covington, GA
  • NPI 1457797177

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Creekside, LLC

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1104536077

  United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Crestwood, LLC

  • Skilled Nursing Facility
  • Valdosta, GA
  • NPI 1063036200

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert O Spruill, MD

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1609808179
  NPD (past)

Affiliated clinicians 1

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

• Robert O Spruill, MD

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1609808179

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1982651402",
    "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": "3003 VETERANS PARKWAY SOUTH",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317886705",
            "telephone_number": "229-985-3422",
            "fax_number": "229-985-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - MAGNOLIA MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2014-06-30",
        "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_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-035-1653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00252007A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Magnolia Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Marie Posey, NP-C
• Kent Alexander Posey, MD
• Gary Randall Pressley Jr., DNAP
• Billy Ray Price II, MD
• Anika Sarah Procope, MD, MSC
• Pruitthealth - Moultrie, LLC (PruittHealth - Moultrie)
• Pruitthealth - Sunrise, LLC (PruittHealth - Sunrise)
• Publix Super Markets Inc (Publix Pharmacy #1540)
• Fred Eugene Purvis, GA RPH 10245
• Jessica Kayla Purvis, LCSW

• Skilled Nursing Facility in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.

Verify at the official NPI Registry.