KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (NPI# 1104089739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104089739 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. |
| Practice Address |
200 Crescent Center Pkwy Tucker GA 30084-7047 |
| Mailing Address |
3495 Piedmont Rd Ne Atlanta GA 30305-1773 |
| Practice Telephone | 7704963515 |
| 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 | 11D0259510 | 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 |
| 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 |
| 1023271657 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 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 |
200 CRESCENT CENTER PKWY |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-7047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720016405 | Jennifer Gall Kapella | Internal Medicine | 200 Crescent Center Pkwy, Kaiser Permanente Crescent Medical Center, Tucker, GA 30084-7047 | 2006-06-29 |
| 1164958153 | Je'nine Lindie | Registered Nurse | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2017-05-11 |
| 1306371455 | Danice B. Mariney | Registered Nurse | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2017-04-26 |
| 1912351057 | Shante Pool | Pharmacist | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2016-04-14 |
| 1871976274 | Sarah W Kilpatrick | Dietitian, Registered | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2015-07-02 |
| 1245510437 | Myra W. Jones | Pharmacist | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2011-08-19 |
| 1871872929 | Erin R Himes | Pharmacist | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2011-08-08 |
| 1366721540 | Urvi Vora | Pharmacist | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2011-08-05 |
| 1417235789 | Nafesa E Walters-smith | Pharmacist | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2011-08-03 |
| 1679851943 | Andrea Elaine Schruers | Pharmacist | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2011-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| 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 |
|---|---|---|---|---|
| 1801386552 | Accurate and Transparent Laboratories | Clinical Medical Laboratory | 1860 Montreal Rd, Tucker, GA 30084-5709 | 2018-05-17 |
| 1417330465 | Egl Genetic Diagnostics, LLC | Clinical Medical Laboratory | 2460 Mountain Industrial Blvd, Tucker, GA 30084-3812 | 2015-07-08 |
| 1609887710 | Parasitic Disease Consultants | Clinical Medical Laboratory | 2177 Flintstone Dr Ste J, Tucker, GA 30084-5000 | 2006-08-11 |
| 1932166386 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2006-04-28 |
| 1528042074 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1957 Lakeside Pkwy, Suite 542, Tucker, GA 30084-0000 | 2005-11-29 |
| 1356714703 | Ocmulgee Medical Pathology Association, Inc | Clinical Medical Laboratory | 1777 Montreal Cir, Ap Suite, Tucker, GA 30084-6802 | 2015-11-06 |
| 1720328693 | Quest Diagnostics | Clinical Medical Laboratory | 1777 Montreal Cir, Tucker, GA 30084 | 2013-02-28 |
| 1841339918 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1777 Montreal Cir, Floor 2, Tucker, GA 30084-6802 | 2007-02-06 |
| 1891889747 | Reliance Medical Laboratories, Inc. | Clinical Medical Laboratory | 2200 Northlake Pkwy, Suite 236, Tucker, GA 30084-4022 | 2006-10-03 |
| 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.