PRUITTPLACE - BUCKHEAD, LLC
NPI 1083476105
Assisted Living Facility in Atlanta, GA
About Pruittplace - Buckhead, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRUITTPLACE - BUCKHEAD, LLC (NPI 1083476105) is a healthcare organization registered as an assisted living facility in Atlanta, Georgia and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pruittplace - Buckhead, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Pruittplace - Buckhead, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 28Source: 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 11D2299511
Pruittplace Buckhead, LLC Dba Pruittplace- Buckhead · Atlanta, GAFrequently 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 Pruittplace - Buckhead, LLC's NPI number?
The NPI number for Pruittplace - Buckhead, LLC is 1083476105. It was assigned to this organization in the NPPES registry on January 24, 2024.
Where is Pruittplace - Buckhead, LLC located?
Pruittplace - Buckhead, LLC is located at 3088 Lenox Rd NE, Atlanta, GA 30324. The listed phone number is (770) 279-6200.
What is Pruittplace - Buckhead, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Is Pruittplace - Buckhead, LLC enrolled in Medicare?
Yes. Pruittplace - Buckhead, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pruittplace - Buckhead, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 4 Medicare specialties reassign their Medicare billing to Pruittplace - Buckhead, LLC. 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 Physical Therapist in Private Practice (12), Occupational Therapist in Private Practice (9) and Qualified Speech Language Pathologist (6). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pruittplace - Buckhead, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2299511) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pruittplace - Buckhead, LLC was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pruittplace - Buckhead, Llc · NPI 1083476105
Assisted Living Facility organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since January 24, 2024.
## Identity
- **NPI:** 1083476105 (Entity type: Organization)
- **Enumerated:** January 24, 2024
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Neil Pruitt, CHAIRMAN AND CEO
## Practice location
- **Address:** 3088 LENOX RD NE, Atlanta, GA 30324-2894
- **Phone:** (770) 279-6200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (12), Occupational Therapist in Private Practice (9), Qualified Speech Language Pathologist (6); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1083476105/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1083476105) · Data from the CMS NPPES public registry.