KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. (NPI# 1598061608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598061608 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. |
| Other Organization Name | KAISER PERMANENTE PEACHTREE CENTER |
| Practice Address |
225 Peachtree St Ne Ste C-08 Atlanta GA 30303-1701 |
| Practice Telephone | 4045893631 |
| Practice Fax Number | 4045893633 |
| Mailing Telephone | 4045893631 |
| Mailing Fax Number | 4045893633 |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2013-07-02 |
| Authorized Official Name | DIANE SANDERS (PHARMACY COMPLIANCE MANAGER) |
| Authorized Official Telephone | 4049495336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
PHRE009740 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2127408 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Peachtree Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811321763 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1100 Lake Hearn Dr Ste 500, Atlanta, GA 30342-1548 | 2013-08-28 |
| 1174826754 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1478 Dogwood Dr Se, Conyers, GA 30013-5088 | 2010-12-21 |
| 1053612119 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 205 Newnan Crossing Byp, Newnan, GA 30265-1063 | 2010-11-05 |
| 1063733210 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 2505 Dallas Hwy Sw, Marietta, GA 30064-2659 | 2010-06-22 |
| 1538480553 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 2240 Fountain Dr, Snellville, GA 30078-2919 | 2010-06-14 |
| 1881910552 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 684 Sixes Rd Ste 275, Holly Springs, GA 30115-8721 | 2010-04-20 |
| 1144546920 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 455 Philip Blvd Ste 130, Lawrenceville, GA 30046-8767 | 2010-04-19 |
| 1699003681 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 201 W Ponce De Leon Ave, Decatur, GA 30030-3217 | 2009-12-02 |
| 1447487574 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1400 Northside Forsyth Dr Ste 350, Cumming, GA 30041-6018 | 2009-06-16 |
| 1366622912 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 8011 Mall Pkwy, Lithonia, GA 30038-2543 | 2007-11-13 |
| Street Address |
225 PEACHTREE ST NE STE C-08 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568577450 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1745 Peachtree Rd Ne, Atlanta, GA 30309-2410 | 2006-08-20 |
| 1932141710 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2006-06-13 |
| 1538275599 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2006-08-22 |
| 1295840189 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2006-08-20 |
| 1093757809 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465859 | Integrated Health Solutions LLC | Pharmacy | 1284 Glandor Ct Se, Mableton, GA 30126-2755 | 2017-09-05 |
| 1174826754 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1478 Dogwood Dr Se, Conyers, GA 30013-5088 | 2010-12-21 |
| 1053612119 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 205 Newnan Crossing Byp, Newnan, GA 30265-1063 | 2010-11-05 |
| 1881910552 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 684 Sixes Rd Ste 275, Holly Springs, GA 30115-8721 | 2010-04-20 |
| 1144546920 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 455 Philip Blvd Ste 130, Lawrenceville, GA 30046-8767 | 2010-04-19 |
| 1699003681 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 201 W Ponce De Leon Ave, Decatur, GA 30030-3217 | 2009-12-02 |
| 1366622912 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 8011 Mall Pkwy, Lithonia, GA 30038-2543 | 2007-11-13 |
| 1518090836 | Northeast Georgia Health Services | Pharmacy | 825 Jesse Jewell Parkway Suite D, Gainesville, GA 30501-3715 | 2007-03-14 |
| 1578606950 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 | 2007-02-15 |
| 1760790414 | Personal Medication Consulting, P.C. | Pharmacy | 6677 Glenmore Way, Columbus, GA 31904-2466 | 2010-09-15 |
| Find all providers with the same taxonomy | ||||
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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.