KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.


Address: 1125 Town Center Village Dr, Mcdonough, GA 30253-5970
Phone: 6785836557

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 11D1003937 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
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

Office Location

Street Address 1125 TOWN CENTER VILLAGE DR
City MCDONOUGH
State GA
Zip Code 30253-5970

Providers in the same location

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

Providers in the same zip code

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
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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
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

Providers in the same taxonomy and state

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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Competitor

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City MCDONOUGH
Zip Code 30253

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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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