KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (NPI# 1386807915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386807915 |
Entity Type | Organization |
Organization Name | KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. |
Practice Address |
1125 Town Center Village Dr Mcdonough GA 30253-5970 |
Mailing Address |
3495 Piedmont Rd Ne Atlanta GA 30305-1773 |
Practice Telephone | 6785836557 |
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 | 11D1003937 | 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 |
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 |
1125 TOWN CENTER VILLAGE DR |
City | MCDONOUGH |
State | GA |
Zip Code | 30253-5970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487697264 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1125 Town Center Village Dr, Mcdonough, GA 30253-5970 | 2006-06-13 |
1811382153 | Hitesh Patel | Family Medicine | 1125 Town Center Village Dr, Mcdonough, GA 30253 | 2015-04-03 |
1831449271 | Kendra Asantewaa Lewis | Pharmacist | 1125 Town Center Village Dr, Mcdonough, GA 30253-5970 | 2012-09-13 |
1184903338 | Rachel Daleth Gainsbrugh | Pharmacist | 1125 Town Center Village Dr, Mcdonough, GA 30253-5970 | 2011-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
Find all providers in zip 30253 |
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 |
---|---|---|---|---|
1881938082 | All Clinical Labs,llc | Clinical Medical Laboratory | 815 Pavilion Ct, Mcdonough, GA 30253-6666 | 2012-11-12 |
1417283458 | All Clinical Labs | Clinical Medical Laboratory | 155 Westridge Parkway, 102, Mcdonough, GA 30253 | 2009-10-27 |
1124626684 | Page Testing Solutions | Clinical Medical Laboratory | 600 Westridge Parkway, Ste 714, Mcdonough, GA 30253 | 2020-10-15 |
1295054450 | Lorrie E Grier | Clinical Medical Laboratory | 155 Westridge Pkwy, 103, Mcdonough, GA 30253-3049 | 2010-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
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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.