Pruitthealth - Crestwood, LLC
NPI 1063036200 · Skilled Nursing Facility · Valdosta, GA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pruitthealth - Crestwood, LLC is a Skilled Nursing Facility organization in Valdosta, GA (NPI 1063036200).
Provider details
- NPI number
- 1063036200
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Neil Pruitt, Chaiman and Ceo(770) 279-6200
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-06-03
- Last updated
- 2020-06-03
- Certified
- 2020-06-03
Frequently asked questions
- What is Pruitthealth - Crestwood, LLC's NPI number?
- Pruitthealth - Crestwood, LLC's National Provider Identifier (NPI) is 1063036200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pruitthealth - Crestwood, LLC?
- Pruitthealth - Crestwood, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Pruitthealth - Crestwood, LLC located?
- Pruitthealth - Crestwood, LLC's practice location on file with NPPES is 415 Pendleton Pl, Valdosta, GA 31602-2632.
- What is Pruitthealth - Crestwood, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pruitthealth - Crestwood, LLC is (229) 242-6868.
- Does Pruitthealth - Crestwood, LLC accept Medicare?
- Pruitthealth - Crestwood, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pruitthealth - Crestwood, LLC?
- The authorized official listed on Pruitthealth - Crestwood, LLC's NPPES record is Neil Pruitt, Chaiman and Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pruitthealth - Crestwood, LLC's NPI active?
- Yes — Pruitthealth - Crestwood, LLC's NPI (1063036200) is active in the NPPES registry as of the last update on 2020-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.