PRUITTHEALTH - PALMYRA
NPI 1073926408
Skilled Nursing Facility in Albany, GA

NPI Status: Active since June 03, 2014

Contact Information

1904 PALMYRA RD
ALBANY, GA
ZIP 31701
Phone: (229) 883-0500
Fax: (229) 438-7203

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 11D0265814
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 08-31-2024

About PRUITTHEALTH - PALMYRA

Pruitthealth - Palmyra is a provider established in Albany, Georgia operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1073926408 assigned on June 2014. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Pruitthealth - Palmyra. The authorized official of this NPI record is Mr. Neil L. Pruitt Jr. (Chairman And Ceo Of Manager)

NPI
1073926408
Provider Legal Name
PRUITTHEALTH - PALMYRA, LLC
Other Organization Name
PRUITTHEALTH - PALMYRA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1904 PALMYRA RD ALBANY, GA 31701
Location Phone
(229) 883-0500
Location Fax
(229) 438-7203
Mailing Address
1626 JEURGENS CT NORCROSS, GA 30093
Mailing Phone
(770) 279-6200
Mailing Fax
(229) 438-7203
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
06-03-2014
Last Update Date
12-22-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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 requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 2 HSA: Aetna network of doctors & hospitals + walk-in clinic + Virtual Care 24/7 - HMO
    • Bronze 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Bronze S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Gold 3: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Gold 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
  • Ambetter from Absolute Total Care

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
  • Ambetter from Sunshine Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter of North Carolina

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Pathway Guided Access HMO 0% for HSA - HMO
    • Anthem Bronze Pathway Guided Access HMO 5000($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Bronze Pathway Guided Access HMO 6000($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Bronze Pathway Guided Access HMO 7500/50% Standard - HMO
    • Anthem Bronze Pathway Guided Access HMO 8000($0 Virtual PCP+$0 Select Drugs) - HMO
  • CareSource

    • CareSource Marketplace Bronze First - HMO
    • CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Gold - HMO
    • CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Gold - HMO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
    • UHC Bronze Essential ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
    • UHC Bronze Standard - HMO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) - HMO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. NEIL L. PRUITT JR.

Authorized Official Title
CHAIRMAN AND CEO OF MANAGER
Authorized Official Phone
(770) 279-6200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
115628MEDICARE OSCAR/CERTIFICATION (06) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0265814
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2022
Certificate Expiration Date
August 31, 2024
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pruitthealth - Palmyra to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PRUITTHEALTH - PALMYRA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073926408
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431821240
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 8 + 2 + 1 + 2 + 4 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1073926408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609809896PALMYRA NURSING HOME, INC
Organization
Skilled Nursing Facility1904 PALMYRA RD
ALBANY, GA 31701
(229) 883-0500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073926408, enumerated in the NPI registry as an "organization" on June 03, 2014

The provider is located at 1904 Palmyra Rd Albany, Ga 31701 and the phone number is (229) 883-0500

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 11D0265814 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 03, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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