KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (NPI# 1598928129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598928129 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. |
| Practice Address |
1175 Cascade Pkwy Sw Atlanta GA 30311-3090 |
| Mailing Address |
3495 Piedmont Rd Ne Atlanta GA 30305-1773 |
| Practice Telephone | 4045054051 |
| 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 | 11D0259955 | 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 |
| 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 |
| 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 |
1175 CASCADE PKWY SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30311-3090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932141710 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2006-06-13 |
| 1093289126 | Jo Underwood | Nurse Practitioner | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2019-01-11 |
| 1700316858 | Aaron Pettyjohn | Student in an Organized Health Care Education/Training Program | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2017-06-12 |
| 1619409224 | Angela Deraad | Registered Nurse | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2017-04-02 |
| 1598297632 | Ariel Nicole Grady | Internal Medicine | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2017-03-29 |
| 1053866046 | Hannah Kang | Pharmacist | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2016-08-18 |
| 1588008619 | Jennifer Tiamese Yancey Thomas | Pediatrics | 1175 Cascade Pkwy Sw, Atlanta, GA 30311 | 2013-04-19 |
| 1649559683 | Stephanie Mitchell Roberts | Pharmacist | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2011-08-09 |
| 1407091267 | Joy Ekpo Uya | Family Medicine | 1175 Cascade Pkwy Sw, Atlanta, GA 30311 | 2008-12-09 |
| 1962699850 | Carrie Johnson | Pharmacist | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2007-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612694 | Modern Internal Medicine Urgent Care and Primary Care Inc | Clinic/Center | 2457 Martin Luther King Jr, Dr, Sw, Suit A, Atlanta, GA 30311 | 2019-07-27 |
| 1528515053 | Cherese Williams | Counselor | 2636 M L K Jr Dr Sw, Suite 22, Atlanta, GA 30311 | 2016-09-01 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1790180131 | Johnny L Johnson | Nutritionist | 3030 Cambelton Rd, Atlanta, GA 30311 | 2014-10-28 |
| 1770718330 | Clayton E. Bell Sr. | Chiropractor | 2905 Campbellton Road, Suite G, Atlanta, GA 30311 | 2009-05-26 |
| 1720243207 | Farida Zohouri | Counselor | 2536 Martin Luther King Jr. Dr. Sw, Atlanta, GA 30311 | 2008-07-23 |
| 1649348962 | Mona Elaine Reynolds | Chiropractor | 3079 Campbellton Road, Suite 205, Atlanta, GA 30311 | 2006-12-04 |
| 1245337211 | Loreen C Doyle-littles | Pediatrics | 1175 Cascade Pkwy, Pediatrics Health Care Team A, Atlanta, GA 30311 | 2006-09-20 |
| 1740383512 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2429 Martin Luther King Jr. Dr., Atlanta, GA 30311 | 2006-09-07 |
| 1407806359 | Booker T Poe | Pediatrics | 2600 Martin Luther King Jr Dr, Ste 202, Atlanta, GA 30311 | 2006-05-11 |
| Find all providers in zip 30311 | ||||
| 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 |
|---|---|---|---|---|
| 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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| 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.