| NPI | 1447207964 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-29 |
| Last Updated | 2015-05-14 |
| Authorized Official | Neil Pruitt Chairman and CEO of Manager Phone: 7702796200 |
| Mailing Address | 1626 Jeurgens Ct Norcross, GA 30093-2219 United States Phone: (770) 279-6200 | Fax: (770) 931-5278 📍 View Map |
| Primary Practice Address | 619 Northside Dr Griffin, GA 30223-1402 United States Phone: (770) 228-4517 | Fax: (770) 412-9145 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 00143052A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 314000000X – Skilled Nursing Facility | GA | 1-126-1395 |
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About NPI 1447207964
Pruitthealth - Griffin, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1447207964. The primary specialty listed is Skilled Nursing Facility. The organization is located in Griffin, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1447207964?
NPI 1447207964 belongs to Pruitthealth - Griffin, Llc, a Skilled Nursing Facility in Griffin, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1447207964 active?
The current status of NPI 1447207964 in the NPPES registry is Active. The record was last updated on 2015-05-14.
What specialty is NPI 1447207964?
NPI 1447207964 is classified under the taxonomy Skilled Nursing Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1447207964?
You can verify NPI 1447207964 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1447207964?
The primary practice address on file for NPI 1447207964 is 619 Northside Dr, Griffin, GA 30223-1402. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1447207964 issued?
NPI 1447207964 was first issued (enumerated) on 2006-05-29. The NPPES record was last updated on 2015-05-14.
Practice Location Map
Pruitthealth - Griffin, Llc is located at 619 Northside Dr, Griffin, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Pruitthealth - Griffin, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1447207964. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Skilled Nursing Facility | 1-126-1395 | GA |