KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (NPI# 1023271657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023271657 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. |
| Practice Address |
750 Townpark Ln Nw Kennesaw GA 30144-5579 |
| Mailing Address |
3495 Piedmont Rd Ne Atlanta GA 30305-1773 |
| Practice Telephone | 7705145426 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | KATHERINE FARMER (DIRECTOR OF LABORATORY SERVICES) |
| Authorized Official Telephone | 4043099314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 11D0888263 | GA | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932361789 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 4000 Dekalb Technology Pkwy, Suite 300, Atlanta, GA 30340-2761 | 2008-07-01 |
| 1598928129 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2008-07-03 |
| 1326201948 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 3550 Preston Ridge Rd, Alpharetta, GA 30005-3821 | 2008-07-03 |
| 1225291859 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2008-07-03 |
| 1134382765 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2008-07-03 |
| 1104089739 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2008-07-03 |
| 1477716009 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 1745 Peachtree Rd Ne, Atlanta, GA 30309-2410 | 2008-07-03 |
| 1386807915 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 1125 Town Center Village Dr, Mcdonough, GA 30253-5970 | 2008-07-03 |
| 1306009931 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2008-07-03 |
| 1194988725 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 8011 Mall Pkwy, Lithonia, GA 30038-2543 | 2008-07-03 |
| Street Address |
750 TOWNPARK LN NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-5579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383691 | Rae A King | Ophthalmology | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2005-08-11 |
| 1861979460 | Allison M Christopher | Psychologist | 750 Townpark Ln Nw, Kennesaw, GA 30144 | 2018-07-26 |
| 1831676535 | Justin Liane Williams | Psychologist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-07-25 |
| 1457859365 | Kristina Hazard | Pharmacist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-01-25 |
| 1821471152 | Gretchen Earwood | Dietitian, Registered | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2015-07-06 |
| 1023403607 | Kimberly Dao-king | Pediatrics | 750 Townpark Ln Nw, Kennesaw, GA 30144 | 2015-04-01 |
| 1467708453 | Cui Yang | Internal Medicine | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-07-27 |
| 1417214925 | Kaiser Foundation Health Plan of Georgia Inc | Pharmacy | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-04-20 |
| 1700152378 | Sanjeev Rally | Psychiatry & Neurology | 750 Townpark Ln Nw, Behavioral Health, Kennesaw, GA 30144-5579 | 2012-03-28 |
| 1265707244 | Kaiser Foundation Health Plan of Georgia Inc | Pharmacy | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962903575 | Newstar Medical Laboratories, LLC | Clinical Medical Laboratory | 975 Cobb Place Blvd Nw Ste 218, Kennesaw, GA 30144-4802 | 2018-02-28 |
| 1275866485 | On Time Any Lab Test, Inc. | Clinical Medical Laboratory | 2851 Cobb Pkwy Nw, Suite 103, Kennesaw, GA 30152-2716 | 2009-09-08 |
| 1841831211 | Myia Frances Kimble | Clinical Medical Laboratory | 4290 Bells Ferry Rd Nw, Kennesaw, GA 30144-7140 | 2019-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777899 | White Coat Sciences LLC | Clinical Medical Laboratory | 315 Bankhead Hwy Ste A, Carrollton, GA 30117-2487 | 2020-10-11 |
| 1851998264 | P23 Labs, LLC | Clinical Medical Laboratory | 7426 Hodgson Memorial Dr, Savannah, GA 31406-2609 | 2020-10-08 |
| 1871190686 | Allegiant Solutions LLC | Clinical Medical Laboratory | 3312 N Oak Street Ext Ste G, Valdosta, GA 31605-1065 | 2020-10-05 |
| 1184221376 | Darlene Gordon | Clinical Medical Laboratory | 9100 White Bluff Rd Ste 106, Savannah, GA 31406-4673 | 2020-10-01 |
| 1841807849 | Gold Coast Diagnostics, LLC | Clinical Medical Laboratory | 4390 Governor's Drive, 407, Forest Park, GA 30297-3029 | 2020-09-24 |
| 1154936979 | Achilles Healthcare LLC | Clinical Medical Laboratory | 6183 Indian Wood Cir Se, Mableton, GA 30126-2964 | 2020-09-09 |
| 1033737382 | Community Health and Wellness Lab | Clinical Medical Laboratory | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 | 2020-07-13 |
| 1497371744 | Gamma Laboratories, LLC | Clinical Medical Laboratory | 270 Carpenter Dr Ste 690, Sandy Springs, GA 30328-4931 | 2020-06-23 |
| 1346864592 | Omega Genomix, LLC | Clinical Medical Laboratory | 200 Washington St Nw Ste C, Gainesville, GA 30501-3622 | 2020-06-03 |
| 1467072231 | Ft Medical Group, LLC | Clinical Medical Laboratory | 777 Cleveland Ave Sw Ste 516, Atlanta, GA 30315-7115 | 2020-04-22 |
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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.