PRUITTHEALTH - THE LODGE LLC
NPI 1346132024
Skilled Nursing Facility in Warner Robins, GA

Active since July 17, 2025CLIA 11D2334196 · Waiver
200 S KIMBERLY RD, WARNER ROBINS, GA 31088(478) 293-4900 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pruitthealth - The Lodge Llc NPPES

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

PRUITTHEALTH - THE LODGE LLC (NPI 1346132024) is a healthcare organization registered as a skilled nursing facility in Warner Robins, Georgia and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1346132024
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRUITTHEALTH - THE LODGE LLC
Location Address200 S KIMBERLY RDWarner Robins, GA 31088-8721
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 806-6875
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200
Enumeration DateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
NPI 1346132024 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.
200 S KIMBERLY RD, Warner Robins, GA 31088

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 11D2334196

Pruitthealth - The Lodge, LLC · Warner Robins, GA
Active · expires Nov 16, 2027
CLIA Number11D2334196
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorBembry Ivy
Laboratory Phone(478) 232-4900
Laboratory LocationPruitthealth - The Lodge, LLC200 S Kinberly Road, Warner Robins, GA 31088
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Speech-Language Pathologist
200 S KIMBERLY RD
WARNER ROBINS, GA 31088
Skilled Nursing Facility
200 S KIMBERLY RD
WARNER ROBINS, GA 31088
Registered Nurse (General Practice)
200 S KIMBERLY RD
WARNER ROBINS, GA 31088

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 - The Lodge LLC's NPI number?

The NPI number for Pruitthealth - The Lodge LLC is 1346132024. It was assigned to this organization in the NPPES registry on July 17, 2025.

Where is Pruitthealth - The Lodge LLC located?

Pruitthealth - The Lodge LLC is located at 200 S Kimberly Rd, Warner Robins, GA 31088. The listed phone number is (478) 293-4900.

What is Pruitthealth - The Lodge LLC's specialty?

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

Does Pruitthealth - The Lodge LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2334196) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pruitthealth - The Lodge LLC was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.