Organization · Type 2 NPI

Pruitthealth Hospice, Inc.

Community Based Hospice Care Agency · Macon, GA

NPI number 1235177205 Active

Practice location

6060 Lakeside Commons Dr
Macon, GA 31210-5778

Call (478) 745-9204 Map

Fax (478) 745-9321

Mailing address

1626 Jeurgens Ct, Legal Dept
Norcross, GA 30093-2219

Specialties and licenses

Taxonomy	Code	License
Hospice and Palliative Medicine (Internal Medicine) Physician	207RH0002X	None listed
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

2 other providers at this address

Pruitthealth Hospice, Inc.Hospice and Palliative Medicine (Internal Medicine) Physician Macon, GA NPI 1366902058
Danielle Tyson, NPFamily Nurse Practitioner Macon, GA NPI 1164207296

Other community based hospice care agency providers in Macon

See all in Macon →

NPI record

NPI: 1235177205
Entity type: Organization (Type 2)
Issued: Jun 3, 2006
Last updated: Sep 15, 2021
Status: Active

Other names

<unavail>
Pruitthealth Hospice - Macon · doing business as
Pruitthealth Hospice - Macon · doing business as

Authorized official

Neil L Pruitt
Chairman and CEO
(770) 279-6200

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1235177205

Pruitthealth Hospice, Inc.'s National Provider Identifier is 1235177205, issued on Jun 3, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Macon, GA. The record was last updated on Sep 15, 2021.