P Praxis·MD
● Active Type 2 · Organization

Pruitthealth - Magnolia Manor, Llc

Skilled Nursing Facility·Moultrie, GA· NPI 1982651402 · Enumerated 2006 · 19 years on NPI
Pruitthealth - Magnolia Manor, Llc is 1 of 794 skilled nursing facility organizations in Georgia.
NPI age
19 years
Enumerated 2006-05-29
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pruitt
Chairman And Ceo
Last NPPES update
2014-06-30
Source: monthly bulk 2026-05

How this organization compares

Across 794 active skilled nursing facility providers in Georgia.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
3003 Veterans Parkway South
Moultrie, GA 317886705
📞 2299853422fax 2299850227
Mailing address
1626 Jeurgens Ct
Norcross, GA 300932219
📞 7702796200

Authorized official

Neil L Pruitt
Chairman And Ceo
📞 7702796200

Specialties

  • Skilled Nursing Facility Primary
    (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
    GA license #1-035-1653 taxonomy 314000000X

Identifiers

TypeValueNotes
05 (GA) 00252007A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • PruittHealth - Magnolia Manor
    Type code 3 recorded 2014-06-30

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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