PRUITTHEALTH HOSPICE - VALDOSTA
NPI 1063450666
Hospice Care, Community Based in Valdosta, GA
About Pruitthealth Hospice - Valdosta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRUITTHEALTH HOSPICE - VALDOSTA (NPI 1063450666) is a healthcare organization registered as a hospice care, community based in Valdosta, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pruitthealth Hospice - Valdosta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
47Medicare enrollment records show 47 clinicians reassign Medicare billing to Pruitthealth Hospice - Valdosta, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 47Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2241917
Pruitthealth Hospice- Valdosta · Valdosta, GAHospice Care Quality CMS Care Compare
Quality measures, care settings and the Hospice Care Index for Pruitthealth Hospice-Valdosta (CMS certification number 111571), from CMS Care Compare.
Pruitthealth Hospice-Valdosta
Hospice · Valdosta, GACare Settings & Patients
Quality Measures
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pruitthealth Hospice, Inc's NPI number?
The NPI number for Pruitthealth Hospice, Inc is 1063450666. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as Pruitthealth Hospice - Valdosta.
Where is Pruitthealth Hospice, Inc located?
Pruitthealth Hospice, Inc is located at 407 Cowart Ave, Valdosta, GA 31602. The listed phone number is (229) 242-1187.
What is Pruitthealth Hospice, Inc's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Is Pruitthealth Hospice, Inc enrolled in Medicare?
Yes. Pruitthealth Hospice, Inc is registered in the Medicare PECOS enrollment system.
When is Pruitthealth Hospice, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Georgia, Hospice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pruitthealth Hospice, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 3 Medicare specialties reassign their Medicare billing to Pruitthealth Hospice, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (42), Clinical Social Worker (4) and Internal Medicine (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pruitthealth Hospice, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2241917) is associated with this NPI, valid through November 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Pruitthealth Hospice, Inc a Medicare-certified hospice?
Yes. Pruitthealth Hospice-Valdosta is a Medicare-certified hospice (CMS certification number 111571), certified since December 16, 1998.
What insurance does Pruitthealth Hospice, Inc accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Pruitthealth Hospice, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pruitthealth Hospice, Inc was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pruitthealth Hospice - Valdosta · NPI 1063450666
Hospice Care, Community Based organization in Valdosta, Georgia. Organization record, active in the CMS NPPES registry since June 3, 2006.
## Identity
- **NPI:** 1063450666 (Entity type: Organization)
- **Enumerated:** June 3, 2006
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Legal business name:** Pruitthealth Hospice, Inc
- **Organization subpart:** No
- **Authorized official:** Neil Pruitt, CHAIRMAN AND CEO
## Practice location
- **Address:** 407 COWART AVE, Valdosta, GA 31602-2635
- **Phone:** (229) 242-1187 · **Fax:** (229) 242-0562
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Part A, Georgia, Hospice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 47 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (42), Clinical Social Worker (4), Internal Medicine (1); 2 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1063450666/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2021
- **Other identifiers:** Medicaid 00849494A (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063450666) · Data from the CMS NPPES public registry.