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Pruitthealth - Sunrise, LLC

Skilled Nursing Facility in Moultrie, GA · enumerated 2006 · authorized official Neil Pruitt, Chairman and Ceo of Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629025150

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Registry record

Entity type Organization (Type 2)
Legal business name Pruitthealth - Sunrise, LLC
Other name <Unavail>
Practice address 2709 South Main Street, Moultrie, GA, 31768
Phone (229) 985-7173
Enumeration date May 29, 2006
Last updated in NPPES Jul 2, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 1-035-1609 (GA) Primary

Authorized official

Name Neil Pruitt
Title Chairman and Ceo of Manager
Phone (770) 279-6200

Other identifiers

Identifier Type State Issuer
00143305A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pruitthealth - Sunrise, LLC?
The NPI for Pruitthealth - Sunrise, LLC is 1629025150, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pruitthealth - Sunrise, LLC?
NPPES lists Neil Pruitt (Chairman and Ceo of Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-02.