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PRUITTPLACE - WESLEYAN, LLC
NPI 1366256703
Assisted Living Facility in Macon, GA

Active since February 05, 2025CLIA 34D2322190 · Waiver
250 WATER TOWER CT, MACON, GA 31210(770) 279-6200 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pruittplace - Wesleyan, Llc NPPES

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

PRUITTPLACE - WESLEYAN, LLC (NPI 1366256703) is a healthcare organization registered as an assisted living facility in Macon, Georgia and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1366256703
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRUITTPLACE - WESLEYAN, LLC
Location Address250 WATER TOWER CTMacon, GA 31210-4865
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 806-6875
Phone(770) 279-6200
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1366256703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
250 WATER TOWER CT, Macon, GA 31210
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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 34D2322190

Pruittplace - Winston Salem, LLC · Winston-Salem, NC
Active · expires Apr 15, 2027
CLIA Number34D2322190
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorJoshua James
Laboratory Phone(770) 279-6200
Laboratory LocationPruittplace - Winston Salem, LLC2500 Polo Ridge Court, Winston-Salem, NC 27106
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ALEXIS ANATASHIA HAWKINS
Occupational Therapist
250 WATER TOWER CT
MACON, GA 31210
Bibb County (478) 471-9433
BETH HALL HAND
Occupational Therapist
250 WATER TOWER CT
MACON, GA 31210
Bibb County (229) 356-2271

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 Pruittplace - Wesleyan, LLC's NPI number?

The NPI number for Pruittplace - Wesleyan, LLC is 1366256703. It was assigned to this organization in the NPPES registry on February 5, 2025.

Where is Pruittplace - Wesleyan, LLC located?

Pruittplace - Wesleyan, LLC is located at 250 Water Tower Ct, Macon, GA 31210. The listed phone number is (770) 279-6200.

What is Pruittplace - Wesleyan, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Pruittplace - Wesleyan, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2322190) is associated with this NPI, valid through April 15, 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 Pruittplace - Wesleyan, LLC was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.