PRUITTPLACE - PEACHTREE CITY, LLC
NPI 1861206294
Assisted Living Facility in Peachtree City, GA

Active since February 05, 2025CLIA 11D2321180 · Waiver
1967 HIGHWAY 54 W, PEACHTREE CITY, GA 30269(770) 279-6200 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pruittplace - Peachtree City, Llc NPPES

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

PRUITTPLACE - PEACHTREE CITY, LLC (NPI 1861206294) is a healthcare organization registered as an assisted living facility in Peachtree City, Georgia and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through March 30, 2027 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1861206294
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRUITTPLACE - PEACHTREE CITY, LLC
Location Address1967 HIGHWAY 54 WPeachtree City, GA 30269-4797
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
NPI 1861206294 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.
1967 HIGHWAY 54 W, Peachtree City, GA 30269

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 11D2321180

Pruittplace - Peachtree City - LLC · Peachtree City, GA
Active · expires Mar 30, 2027
CLIA Number11D2321180
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorMarlon Gellineau
Laboratory Phone(770) 279-6200
Laboratory LocationPruittplace - Peachtree City - LLC1967 Highway 54 W, Peachtree City, GA 30269
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.

Occupational Therapist
1967 HIGHWAY 54 W
PEACHTREE CITY, GA 30269
Physical Therapist
1967 HIGHWAY 54 W
PEACHTREE CITY, GA 30269

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 - Peachtree City, LLC's NPI number?

The NPI number for Pruittplace - Peachtree City, LLC is 1861206294. It was assigned to this organization in the NPPES registry on February 5, 2025.

Where is Pruittplace - Peachtree City, LLC located?

Pruittplace - Peachtree City, LLC is located at 1967 Highway 54 W, Peachtree City, GA 30269. The listed phone number is (770) 279-6200.

What is Pruittplace - Peachtree City, LLC's specialty?

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

Does Pruittplace - Peachtree City, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2321180) is associated with this NPI, valid through March 30, 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 - Peachtree City, 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.