PRUITTHEALTH - CREEKSIDE, LLC
NPI 1104536077
Skilled Nursing Facility in Augusta, GA

Active since December 01, 2022CLIA 11D2271213 · Waiver
2021 SCOTT RD, AUGUSTA, GA 30906(770) 279-6200 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pruitthealth - Creekside, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRUITTHEALTH - CREEKSIDE, LLC (NPI 1104536077) is a healthcare organization registered as a skilled nursing facility in Augusta, Georgia and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1104536077
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRUITTHEALTH - CREEKSIDE, LLC
Location Address2021 SCOTT RDAugusta, GA 30906-2539
Mailing Address1626 Jeurgens Ct, Attn: Legal DeptNorcross, GA 30093 · (770) 279-6200
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200
Enumeration DateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
NPI 1104536077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
2021 SCOTT RD, Augusta, GA 30906

Accepted Insurance

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 11D2271213

Pruitthealth-Creekside, LLC · Augusta, GA
Active · expires Oct 30, 2026
CLIA Number11D2271213
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorJessica Love
Laboratory Phone(706) 247-8310
Laboratory LocationPruitthealth-Creekside, LLC2021 Scott Road, Augusta, GA 30906
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
2021 SCOTT RD
AUGUSTA, GA 30906
Audiologist
2021 SCOTT RD
AUGUSTA, GA 30906
Skilled Nursing Facility
2021 SCOTT RD
AUGUSTA, GA 30906
Physical Therapy Assistant
2021 SCOTT RD
AUGUSTA, GA 30906

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 - Creekside, LLC's NPI number?

The NPI number for Pruitthealth - Creekside, LLC is 1104536077. It was assigned to this organization in the NPPES registry on December 1, 2022.

Where is Pruitthealth - Creekside, LLC located?

Pruitthealth - Creekside, LLC is located at 2021 Scott Rd, Augusta, GA 30906. The listed phone number is (770) 279-6200.

What is Pruitthealth - Creekside, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Pruitthealth - Creekside, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2271213) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pruitthealth - Creekside, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Pruitthealth - Creekside, LLC 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 - Creekside, LLC was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.