PRUITTHEALTH - HOLLY HILL
NPI 1659310662
Skilled Nursing Facility in Valdosta, GA

Active since June 05, 2006CLIA 11D0265574 · Waiver
413 PENDLETON PL, VALDOSTA, GA 31602(229) 244-6968(229) 247-9933 Get Directions Write a Review

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pruitthealth - Holly Hill NPPES

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

PRUITTHEALTH - HOLLY HILL (NPI 1659310662) is a healthcare organization registered as a skilled nursing facility in Valdosta, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Neil L Pruitt, Chairman And Ceo Of Manager, as its authorized official.

NPPES Registry Identity

NPI1659310662
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLOWNDES COUNTY HEALTH SERVICES, LLC
Location Address413 PENDLETON PLValdosta, GA 31602-2632
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200 · Fax (770) 931-5278
Fax(229) 247-9933
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo Of Manager · (770) 279-6200
Enumeration DateJune 5, 2006
Last NPPES UpdateJuly 2, 2014
NPI 1659310662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in GA · 1-092-939
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.
413 PENDLETON PL, Valdosta, GA 31602

Other Names 1

Doing Business AsPruitthealth - Holly Hill

Other Identifiers 2

Medicare OSCAR/certification115562GA
Medicaid00141479AGA

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 11D0265574

Pruitthealth-Holly Hill, LLC · Valdosta, GA
Active · expires Aug 31, 2026
CLIA Number11D0265574
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCheryl Coleman
Laboratory Phone(229) 244-6968
Laboratory LocationPruitthealth-Holly Hill, LLC413 Pendleton Place, Valdosta, GA 31602
CLIA data matches this NPI record on: Address Name 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.

Clinic/Center (Rehabilitation)
413 PENDLETON PL
VALDOSTA, GA 31602
Skilled Nursing Facility
413 PENDLETON PL
VALDOSTA, GA 31602

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 Lowndes County Health Services, LLC's NPI number?

The NPI number for Lowndes County Health Services, LLC is 1659310662. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Pruitthealth - Holly Hill.

Where is Lowndes County Health Services, LLC located?

Lowndes County Health Services, LLC is located at 413 Pendleton Pl, Valdosta, GA 31602. The listed phone number is (229) 244-6968.

What is Lowndes County Health Services, LLC's specialty?

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

Does Lowndes County Health Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0265574) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lowndes County Health Services, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lowndes County Health Services, 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 Lowndes County Health Services, LLC was last updated on July 2, 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.