KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (NPI# 1285896126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285896126 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. |
| Practice Address |
1400 Northside Forsyth Dr Suite 350 Cumming GA 30041-7668 |
| Mailing Address |
3495 Piedmont Rd Ne Atlanta GA 30305-1773 |
| Practice Telephone | 7706775831 |
| Enumeration Date | 2008-07-01 |
| 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 |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 11D1028044 | GA | Laboratories |
| Y | 291U00000X | Clinical Medical Laboratory | 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 |
| 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 |
| Street Address |
1400 NORTHSIDE FORSYTH DR SUITE 350 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-7668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178486 | Joel A. Hoffman | Specialist | 1400 Northside Forsyth Dr, Suite 240, Cumming, GA 30041-7668 | 2005-07-14 |
| 1144832585 | Linda Lilian Adhiambo | Nurse Practitioner | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2020-08-18 |
| 1821632605 | Charley Whitmire | Nurse Practitioner | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2019-11-04 |
| 1437601549 | Deborah A Martin, Md, Facs | Surgery | 1400 Northside Forsyth Dr, Suite 340, Cumming, GA 30041-7668 | 2016-10-25 |
| 1528422649 | Amanda Yassin | Pharmacist | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2016-04-06 |
| 1255733812 | Kimberly Neadow | Nurse Practitioner | 1400 Northside Forsyth Dr, Ste 310, Cumming, GA 30041-7668 | 2014-09-25 |
| 1962843557 | Monica Patterson | Audiologist | 1400 Northside Forsyth Dr, Suite 240, Cumming, GA 30041-7668 | 2013-07-11 |
| 1225477300 | Mandi Charles | Registered Nurse | 1400 Northside Forsyth Dr, Suite 390, Cumming, GA 30041-7668 | 2013-06-21 |
| 1306107982 | Ebony L Sims | Pharmacist | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2012-05-31 |
| 1538428834 | C Colleen Benson | Audiologist | 1400 Northside Forsyth Dr, Ste 240, Cumming, GA 30041-7668 | 2012-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| 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 |
|---|---|---|---|---|
| 1538625868 | Pcg Molecular, LLC | Clinical Medical Laboratory | 5485 Bethelview Rd Ste 360-366, Cumming, GA 30040-9735 | 2019-02-12 |
| 1508345976 | Encounter Medical Laboratory Services | Clinical Medical Laboratory | 3075 Ronald Reagan Blvd Ste 501, Cumming, GA 30041-6052 | 2018-08-07 |
| 1932497492 | Southeastern Dermatopathology, LLC | Clinical Medical Laboratory | 1067 Windermere Xing, Cumming, GA 30041-6104 | 2011-07-19 |
| 1972037109 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2017-04-14 |
| 1245562230 | Atlanta Health Associates, Inc. | Clinical Medical Laboratory | 309 Pirkle Ferry Rd, Suite D300, Cumming, GA 30040-2545 | 2010-02-02 |
| 1467435644 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 260 Elm St, Cumming, GA 30040-2467 | 2005-11-22 |
| 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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| 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.