KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.


Address: 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473
Phone: 7706775830

KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (NPI# 1225291859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225291859
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Practice Address 20 Glenlake Pkwy Ne
Atlanta
GA 30328-3473
Mailing Address 3495 Piedmont Rd Ne
Atlanta
GA 30305-1773
Practice Telephone 7706775830
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 11D0259776 GA Laboratories

Other Provider IDs and Locations

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
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
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

Office Location

Street Address 20 GLENLAKE PKWY NE
City ATLANTA
State GA
Zip Code 30328-3473

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457319568 April Michelle Liverman Physician Assistant 20 Glenlake Pkwy Ne, Dept of Breast Surgery, Atlanta, GA 30328-3473 2006-05-01
1184911760 Anuj Ashwin Patel Pharmacist 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 2011-07-05
1194039115 Sherry-ann Renee Marshall Pharmacist 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 2010-08-02
1205152881 Barry Michael Mason Urology 20 Glenlake Pkwy Ne, Urology Department, Atlanta, GA 30328-3473 2010-04-08
1184888497 John Douglas Edwards Jr. Radiologic Technologist 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 2008-07-16
1164692554 Brian Jaehoon Chung Otolaryngology 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 2008-03-03
1043400930 Shahidur Rahman Pediatrics 20 Glenlake Pkwy Ne, Glenlake Medical Center, Atlanta, GA 30328-3473 2007-07-27
1831305820 Vanessa Etheridge Smith Pharmacist 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 2007-05-15
1669540043 Jennifer Plunkett Surgery 20 Glenlake Pkwy Ne, Department of Surgery, Atlanta, GA 30328-3473 2006-12-01
1588753354 Teresa M. Lo Otolaryngology 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 2006-10-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467910042 Amber Andrews Behavior Technician 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 2019-03-04
1215492830 Ryan William Dubinin Behavior Technician 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 2019-02-07
1346710142 Emily Rose Lloyd Swavely Speech-Language Pathologist 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 2018-12-05
1063994481 Mark Edward Brachmanski Optometrist 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 2018-09-01
1407352578 Nina Brown Massage Therapist 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 2018-04-05
1336657741 Renee Usher Reeves Assistant Behavior Analyst 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 2018-01-19
1487168274 Patricia Nicole Felder Student in an Organized Health Care Education/Training Program 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 2017-12-01
1447762927 Ponders Podiatry LLC Podiatrist 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 2017-10-24
1770093601 Syed M Rasheed Physician Assistant 5788 Roswell Rd Ste 100, Atlanta, GA 30328 2017-10-05
1437678190 Jeanette Denise Jones Counselor 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 2017-09-13
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033737382 Community Health and Wellness Lab Clinical Medical Laboratory 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 2020-07-13
1467072231 Ft Medical Group, LLC Clinical Medical Laboratory 777 Cleveland Ave Sw Ste 516, Atlanta, GA 30315-7115 2020-04-22
1992344774 Pulse Medical Diagnostic Clinical Medical Laboratory 2302 Parklake Dr Ne Ste 405, Atlanta, GA 30345-2896 2019-12-27
1285278846 Reveal Diagnostic Services, Inc Clinical Medical Laboratory 3915 Cascade Rd Sw Ste 355, Atlanta, GA 30331-8520 2019-11-06
1679062103 Sigma Labs, LLC Clinical Medical Laboratory 270 Carpenter Dr Ste 602, Atlanta, GA 30328-4931 2018-05-10
1588175194 Beta Labs, LLC Clinical Medical Laboratory 270 Carpenter Dr Ste 600, Atlanta, GA 30328-4931 2017-10-23
1164962882 Ipsum Diagnostics LLC Clinical Medical Laboratory 8607 Roberts Dr Ste 125, Atlanta, GA 30350 2017-02-28
1396297263 Promed Testing, LLC Clinical Medical Laboratory 120 Valle Jo Ct, Atlanta, GA 30349-3644 2016-10-26
1659726487 Pure Diagnostic, LLC Clinical Medical Laboratory 4025 Pleasantdale Rd Ste 525, Atlanta, GA 30340-4265 2016-04-29
1063892396 Otogenetics Corporation Clinical Medical Laboratory 4553 Winters Chapel Rd Ste 100, Atlanta, GA 30360-2703 2015-06-02
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Competitor

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City ATLANTA
Zip Code 30328

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Dataset Information

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.

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