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PRUITTHEALTH NUTRITIONAL SUPPLY
NPI 1235186495
Durable Medical Equipment & Medical Supplies in Norcross, GA

Active since May 31, 2006
1626 JEURGENS COURT, NORCROSS, GA 30093(866) 520-1214(770) 931-5262 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pruitthealth Nutritional Supply NPPES

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

PRUITTHEALTH NUTRITIONAL SUPPLY (NPI 1235186495) is a healthcare organization registered as a durable medical equipment & medical supplies in Norcross, Georgia and active in the NPI registry since May 2006. The organization lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1235186495
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePRUITTHEALTH NUTRITIONAL SUPPLY, INC.
Location Address1626 JEURGENS COURTNorcross, GA 30093-2219
Mailing Address1626 Jeurgens CourtNorcross, GA 30093-2219 · (770) 279-6200 · Fax (770) 931-5278
Phone(866) 520-1214
Fax(770) 931-5262
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200
Enumeration DateMay 31, 2006
Last NPPES UpdateApril 9, 2014
✔ NPI 1235186495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1626 JEURGENS COURT, Norcross, GA 30093
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Other Names 1

Doing Business AsPruitthealth Nutritional Supply

Other Identifiers 3

Medicaid00419031AGA
Medicare NSC0582010001GA
Medicare ID-Type UnspecifiedC08404608GA · Submitter #

Other Providers at the Same Location NPPES 3

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

PRUITTHEALTH DIAGNOSTIC SERVICES, INC.
Clinical Medical Laboratory
1626 JEURGENS COURT, SUITE C
NORCROSS, GA 30093
Gwinnett County (770) 279-6200
UNIHEALTH SOLUTIONS, INC.
Case Management
1626 JEURGENS COURT
NORCROSS, GA 30093
Gwinnett County (770) 279-6200
PRUITTHEALTH HOME HEALTH - FLORIDA, INC.
Home Health
1626 JEURGENS COURT
NORCROSS, GA 30093
Gwinnett County (770) 279-6200

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 Nutritional Supply, Inc.'s NPI number?

The NPI number for Pruitthealth Nutritional Supply, Inc. is 1235186495. It was assigned to this organization in the NPPES registry on May 31, 2006. The provider is doing business as Pruitthealth Nutritional Supply.

Where is Pruitthealth Nutritional Supply, Inc. located?

Pruitthealth Nutritional Supply, Inc. is located at 1626 Jeurgens Court, Norcross, GA 30093. The listed phone number is (866) 520-1214.

What is Pruitthealth Nutritional Supply, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Pruitthealth Nutritional Supply, Inc. was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.