KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC


Address: 2142 W Broad St Bldg 200, Athens, GA 30606-3509
Phone: 7065835001

KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC (NPI# 1427325067) 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) 1427325067
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC
Other Organization Name KAISER PERMANENTE ATHENS
Practice Address 2142 W Broad St Bldg 200
Athens
GA 30606-3509
Practice Telephone 7065835001
Practice Fax Number 7065835003
Mailing Telephone 7065835001
Mailing Fax Number 7065835003
Enumeration Date 2011-11-28
Last Update Date 2012-12-05
Authorized Official Name DIANE SANDERS (PHARMACY COMPLIANCE MANAGER)
Authorized Official Telephone 4049495336
Is Organization Subpart N

Taxonomy

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
PHRE009793 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 1161900 01

Other Provider/Organization Names

Other Name Type Code
Kaiser Permanente Athens Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417214925 Kaiser Foundation Health Plan of Georgia Inc Pharmacy 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 2012-04-20
1508123811 Kaiser Foundation Health Plan of Georgia Inc Pharmacy 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 2012-04-12
1265707244 Kaiser Foundation Health Plan of Georgia Inc Pharmacy 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 2012-03-09

Office Location

Street Address 2142 W BROAD ST BLDG 200
City ATHENS
State GA
Zip Code 30606-3509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346794567 Meghan Livingston Lee Nurse Practitioner 2142 W Broad St Bldg 200, Suite 200, Athens, GA 30606-3509 2016-08-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942816962 Kofi Darkwa Seffah Student in an Organized Health Care Education/Training Program 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 2020-09-16
1831712363 Rebecca John Licensed Practical Nurse 240 Mitchel Bridge Road, Athens, GA 30606 2020-05-19
1497375612 Alfred Ka-shing Wong Student in an Organized Health Care Education/Training Program 1270 Prince Ave Suite 201, Athens, GA 30606 2020-04-17
1881223956 Lauren Fesperman Nurse Practitioner 242 King Ave Ste 130, Athens, GA 30606 2020-04-02
1255966081 Westminster Presbyterian Homes, Inc. Skilled Nursing Facility 1400 Live Oak Ln, Building 100, Athens, GA 30606 2020-03-12
1255981700 Carol Cameron Cready-pyle Social Worker 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 2019-09-17
1013576016 Lauren Gruendling Nurse Practitioner 242 King Avenue, Suite 210, Athens, GA 30606 2019-06-12
1760045223 Dominic Ofosu Amakye Student in an Organized Health Care Education/Training Program 1270 Prince Avenue Suite 201, Athens, GA 30606 2019-04-19
1740740422 Juan G Salazar Castillo Student in an Organized Health Care Education/Training Program Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 2019-03-20
1750869020 Jennifer Emily Chapman Physical Therapist 1021 Parkway Blvd Ste 101, Athens, GA 30606 2018-07-30
Find all providers in zip 30606

Taxonomy Information

Taxonomy Code 3336M0003X
Grouping Suppliers
Classification Pharmacy
Specialization Managed Care Organization Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
1568577450 Kaiser Foundation Health Plan of Georgia, Inc. Pharmacy 1745 Peachtree Rd Ne, Atlanta, GA 30309-2410 2006-08-20
Find all providers with the same taxonomy

Competitor

Search similar providers

City ATHENS
Zip Code 30606

Improve Information

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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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