PRUITTHEALTH - MAGNOLIA MANOR
NPI 1982651402
Skilled Nursing Facility in Moultrie, GA

Active since May 29, 2006CLIA 11D0898234 · Waiver
3/5
Overall Rating
3003 VETERANS PARKWAY SOUTH, MOULTRIE, GA 31788(229) 985-3422(229) 985-0227 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pruitthealth - Magnolia Manor NPPES

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

PRUITTHEALTH - MAGNOLIA MANOR (NPI 1982651402) is a healthcare organization registered as a skilled nursing facility in Moultrie, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1982651402
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRUITTHEALTH - MAGNOLIA MANOR, LLC
Location Address3003 VETERANS PARKWAY SOUTHMoultrie, GA 31788-6705
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200
Fax(229) 985-0227
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200
Enumeration DateMay 29, 2006
Last NPPES UpdateJune 30, 2014
NPI 1982651402 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 · 1-035-1653
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.
3003 VETERANS PARKWAY SOUTH, Moultrie, GA 31788

Other Names 1

Doing Business AsPruitthealth - Magnolia Manor

Other Identifiers 2

Medicaid00252007AGA
Medicare OSCAR/certification115326GA

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 11D0898234

Pruitthealth - Magnolia Manor, LLC · Moultrie, GA
Active · expires Feb 26, 2027
CLIA Number11D0898234
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorKeith Yates
Laboratory Phone(229) 985-3422
Laboratory LocationPruitthealth - Magnolia Manor, LLC3003 Veterans Parkway South, Moultrie, GA 31788
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Pruitthealth - Magnolia Manor (CMS certification number 115326), from CMS Care Compare.

Pruitthealth - Magnolia Manor

Nursing home · Moultrie, GA
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number115326
Certified Beds100 beds88 residents per day on average
Medicare & Medicaid Participant SinceOctober 1, 1984
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
30.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.27 · LPN 0.82 · RN 0.86
3.95 hrs per resident per day
Weekend Nurse Staffing
3.06 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
37.2%
Registered Nurse Turnover
21.4%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
5
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 - Magnolia Manor, LLC's NPI number?

The NPI number for Pruitthealth - Magnolia Manor, LLC is 1982651402. It was assigned to this organization in the NPPES registry on May 29, 2006. The provider is doing business as Pruitthealth - Magnolia Manor.

Where is Pruitthealth - Magnolia Manor, LLC located?

Pruitthealth - Magnolia Manor, LLC is located at 3003 Veterans Parkway South, Moultrie, GA 31788. The listed phone number is (229) 985-3422.

What is Pruitthealth - Magnolia Manor, LLC's specialty?

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

Does Pruitthealth - Magnolia Manor, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0898234) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Pruitthealth - Magnolia Manor, LLC a Medicare-certified nursing home?

Yes. Pruitthealth - Magnolia Manor is a Medicare-certified nursing home with 100 certified beds.

What quality rating does Pruitthealth - Magnolia Manor, LLC have?

CMS rates Pruitthealth - Magnolia Manor 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Pruitthealth - Magnolia Manor, LLC accept?

Health plans from Alliant Health Plans, Inc. list Pruitthealth - Magnolia Manor, 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 Pruitthealth - Magnolia Manor, LLC was last updated on June 30, 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.