PRUITTHEALTH HOME HEALTH - SOUTH GEORGIA II INC
NPI 1790620128
Home Health in Tifton, GA

Q: What is Pruitthealth Home Health - South Georgia II Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since April 22, 2026CLIA 11D2347744 · Waiver

1823 OLD OCILLA RD, TIFTON, GA 31794(770) 279-6200 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Pruitthealth Home Health - South Georgia Ii Inc NPPES

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

PRUITTHEALTH HOME HEALTH - SOUTH GEORGIA II INC (NPI 1790620128), doing business as Pruitthealth @ Home - Tifton, is a healthcare organization registered as a home health in Tifton, Georgia and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1790620128

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NamePRUITTHEALTH HOME HEALTH - SOUTH GEORGIA II INC

Location Address1823 OLD OCILLA RDTifton, GA 31794-1617

Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200

Phone(770) 279-6200

Organization SubpartNo

Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200

Enumeration DateApril 22, 2026

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1790620128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

1823 OLD OCILLA RD, Tifton, GA 31794

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Other Names 1

Doing Business AsPruitthealth @ Home - Tifton

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 11D2347744

Pruitthealth Home Health South Georiga II, Inc Dba Pruitthealth At Home-Tifton · Tifton, GA

Active · expires Jul 22, 2028

CLIA Number11D2347744

Laboratory TypeHome Health Agency

Certificate Effective DateJuly 23, 2026

Certificate Expiration DateJuly 22, 2028

Laboratory DirectorKari Snow

Laboratory Phone(229) 382-8443

Laboratory LocationPruitthealth Home Health South Georiga II, Inc Dba Pruitthealth At Home-Tifton1823 Old Ocilla Road, Tifton, GA 31794

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MEMORIAL CAREONE HOME HEALTH SERVICES INC

Home Health

1823 OLD OCILLA RD
TIFTON, GA 31794

Tift County (229) 382-0686

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 Home Health - South Georgia II Inc's NPI number?

The NPI number for Pruitthealth Home Health - South Georgia II Inc is 1790620128. It was assigned to this organization in the NPPES registry on April 22, 2026. The provider is doing business as PruittHealth @ Home - Tifton.

Where is Pruitthealth Home Health - South Georgia II Inc located?

Pruitthealth Home Health - South Georgia II Inc is located at 1823 Old Ocilla Rd, Tifton, GA 31794. The listed phone number is (770) 279-6200.

What is Pruitthealth Home Health - South Georgia II Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Pruitthealth Home Health - South Georgia II Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2347744) is associated with this NPI, valid through July 22, 2028. 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 Home Health - South Georgia II Inc was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.