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Contact Information

PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC.
6060 LAKESIDE COMMONS DRIVE
MACON, GA31210
 Phone: 770-279-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC.

NPI # 1043899321
LBN Legal business name PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC.
Authorized official NICOLE CLEMENTS - (SENIOR CORPORATE PARALEGAL)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/05/2021
Last updated 10/23/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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