PRUITTHEALTH HOME FIRST, INC. (NPI# 1982768180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982768180 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH HOME FIRST, INC. |
| Other Organization Name | PRUITTHEALTH HOME FIRST - VALDOSTA |
| Practice Address |
312 Canna Drive Valdosta GA 31602 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 2292418750 |
| Practice Fax Number | 2292418940 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7709254619 |
| Enumeration Date | 2006-12-21 |
| 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 | 85500800G | 05 |
| Other Name | Type Code |
|---|---|
| Pruitthealth Home First - Valdosta | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164554432 | Pruitthealth Home First, Inc. | Case Management | 6050 Appalachian Highway, Suite 4, Blue Ridge, GA 30513 | 2007-03-12 |
| 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 |
312 CANNA DRIVE |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205176427 | Divine Interventions & Counseling Services LLC | Case Management | 100 N Patterson St, Suite C, Valdosta, GA 31601-5570 | 2013-02-25 |
| 1689706772 | Unihealth Solutions, Inc. | Case Management | 407 Cowart Avenue, Valdosta, GA 31602 | 2007-03-12 |
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| 1245843671 | Talent Squad, LLC | Case Management | 4004 Castle Way, Fairburn, GA 30213-4712 | 2020-08-25 |
| 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 | ||||
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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.