PRUITTHEALTH HOME FIRST, INC. (NPI# 1164554432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164554432 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH HOME FIRST, INC. |
| Other Organization Name | PRUITTHEALTH HOME FIRST - BLUE RIDGE |
| Practice Address |
6050 Appalachian Highway Suite 4 Blue Ridge GA 30513 |
| Mailing Address |
1626 Jeurgens Court Norcross GA 30093-2219 |
| Practice Telephone | 7066329263 |
| Practice Fax Number | 7066320028 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7068272048 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2018-01-19 |
| Authorized Official Name | MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO) |
| Authorized Official Telephone | 7702796200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 8550800G | 05 | |
| GA | MEDICAID PAVEE # | 300036015B | 01 |
| Other Name | Type Code |
|---|---|
| Pruitthealth Home First - Blue Ridge | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982768180 | Pruitthealth Home First, Inc. | Case Management | 312 Canna Drive, Valdosta, GA 31602 | 2006-12-21 |
| 1306900485 | Pruitthealth Home First, Inc. | Case Management | 1751 Meriweather Drive, Suite 1a, Watkinsville, GA 30677 | 2006-12-21 |
| 1306900519 | Pruitthealth Home First, Inc. | Case Management | 202 North Westover Blvd., Albany, GA 31707 | 2006-12-21 |
| 1396809513 | Pruitthealth Home First, Inc. | Case Management | 1220 Augusta West Parkway, Augusta, GA 30909 | 2006-12-21 |
| 1538223748 | Pruitthealth Home First, Inc. | Case Management | 6060 Lakeside Commons Drive, Macon, GA 31210-2584 | 2006-12-21 |
| 1760855498 | Pruitthealth Home First, Inc. | Case Management | 200 Medical Campus Dr, Burnsville, NC 28714-9004 | 2015-11-03 |
| 1740436088 | Pruitthealth Home First, Inc. | Case Management | 9100 White Bluff Road, Suite 303, Savannah, GA 31406-4670 | 2008-08-18 |
| Street Address |
6050 APPALACHIAN HIGHWAY SUITE 4 |
| City | BLUE RIDGE |
| State | GA |
| Zip Code | 30513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356804561 | Christine Gangwisch | Registered Nurse | 3855 Old Highway 5 Ste 110, Blue Ridge, GA 30513 | 2019-04-13 |
| 1013474659 | Ten Dental LLC | Dentist | 330 Progress Circle Ste C, Blue Ridge, GA 30513 | 2019-03-01 |
| 1932646262 | David Lee Durham | Pharmacist | 5679 Appalachian Highway, Blue Ridge, GA 30513 | 2017-01-25 |
| 1659754398 | Jordan Patton | Ophthalmology | 266 Orvin Lance Dr Ste 5, Blue Ridge, GA 30513 | 2015-06-30 |
| 1063824977 | Christy Russell | Pharmacist | 97 Commerce Drive, Blue Ridge, GA 30513 | 2014-05-27 |
| 1588008429 | Nathan William Kincaid | Surgery | 2855 Old Highway 5 Ste 108, Blue Ridge, GA 30513 | 2013-04-22 |
| 1972800175 | W. Max Couch, Jr., Dds, Mds, LLC | Dentist | 2714 East First Street, Blue Ridge, GA 30513 | 2011-02-24 |
| 1760792246 | Med-trans Corporation | Ambulance | 482 Mccaysville Industrial Dr, Blue Ridge, GA 30513 | 2010-10-18 |
| 1396924791 | Sue Ann Richardson | Chiropractor | 59 Mckinney, Blue Ridge, GA 30513 | 2007-11-01 |
| 1588793541 | Stacey D Davis | Chiropractor | 351 E Highland St, Suite A, Blue Ridge, GA 30513 | 2007-03-05 |
| Find all providers in zip 30513 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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| 1477173706 | Patientory | Case Management | 3423 Piedmont Rd Ne Ste 373, Atlanta, GA 30305-1751 | 2020-04-16 |
| 1821626516 | Created2empower Counseling Services,llc | Case Management | 1001 Virginia Ave Ste 330, Atlanta, GA 30354-1367 | 2020-03-30 |
| 1245867795 | Melissa Carol Jenkins | Case Management | 154 Hill Rd, Lyons, GA 30436-4450 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
| City | BLUE RIDGE |
| Zip Code | 30513 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.