PRUITTHEALTH - LITHONIA LLC
NPI 1689534380
Skilled Nursing Facility in Lithonia, GA

Active since November 14, 2025CLIA 11D2335044 · Waiver
2816 EVANS MILL RD, LITHONIA, GA 30058(770) 279-6200 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pruitthealth - Lithonia Llc NPPES

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

PRUITTHEALTH - LITHONIA LLC (NPI 1689534380) is a healthcare organization registered as a skilled nursing facility in Lithonia, Georgia and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1689534380
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRUITTHEALTH - LITHONIA LLC
Location Address2816 EVANS MILL RDLithonia, GA 30058-7440
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200
Enumeration DateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
NPI 1689534380 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.
2816 EVANS MILL RD, Lithonia, GA 30058

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 11D2335044

Pruitthealth- Lithonia, LLC · Lithonia, GA
Active · expires Dec 4, 2027
CLIA Number11D2335044
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorSoukhy Clark
Laboratory Phone(770) 482-2961
Laboratory LocationPruitthealth- Lithonia, LLC2816 Evans Mill Road, Lithonia, GA 30058
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 2

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

Respiratory Therapist, Registered
2816 EVANS MILL RD
LITHONIA, GA 30058
Skilled Nursing Facility
2816 EVANS MILL RD
LITHONIA, GA 30058

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 - Lithonia LLC's NPI number?

The NPI number for Pruitthealth - Lithonia LLC is 1689534380. It was assigned to this organization in the NPPES registry on November 14, 2025.

Where is Pruitthealth - Lithonia LLC located?

Pruitthealth - Lithonia LLC is located at 2816 Evans Mill Rd, Lithonia, GA 30058. The listed phone number is (770) 279-6200.

What is Pruitthealth - Lithonia LLC's specialty?

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

Does Pruitthealth - Lithonia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2335044) is associated with this NPI, valid through December 4, 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 - Lithonia LLC was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.