KASIER PERMANENTE (NPI# 1811216153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811216153 |
| Entity Type | Organization |
| Organization Name | KASIER PERMANENTE |
| Practice Address |
684 Sixes Rd Suite 275 Holly Springs GA 30115-8721 |
| Practice Telephone | 7708522439 |
| Practice Fax Number | 7708522442 |
| Mailing Telephone | 7708522439 |
| Mailing Fax Number | 7708522442 |
| Enumeration Date | 2010-05-26 |
| 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 | 11D2006605 | GA | Laboratories |
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
684 SIXES RD SUITE 275 |
| City | HOLLY SPRINGS |
| State | GA |
| Zip Code | 30115-8721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427021070 | Michael W Shotwell | Surgery | 684 Sixes Rd, Suite 225, Holly Springs, GA 30115-8721 | 2006-02-13 |
| 1831476316 | Olde Time Pharmacy At Sixes, LLC | Clinic/Center | 684 Sixes Rd, Suite 105, Holly Springs, GA 30115-8721 | 2011-11-10 |
| 1255652632 | Jimmy J Jiang | Orthopaedic Surgery | 684 Sixes Rd, Suite 130, Holly Springs, GA 30115-8721 | 2010-06-19 |
| 1952620429 | Matthew T Simmons | Family Medicine | 684 Sixes Rd, Suite 130, Holly Springs, GA 30115 | 2010-05-24 |
| 1912174889 | Stephen Allen Rodes | Orthopaedic Surgery | 684 Sixes Rd, Suite 130, Holly Springs, GA 30115-8721 | 2008-05-10 |
| 1649456609 | Jamie Hayes Rollins | Pediatrics | 684 Sixes Rd, Ste 220, Holly Springs, GA 30115-8721 | 2008-01-21 |
| 1902012206 | Jason Robert Hefner | Internal Medicine | 684 Sixes Rd, Suite 125, Holly Springs, GA 30115-8721 | 2007-05-15 |
| 1104866334 | Anuj Kumar Dua | Surgery | 684 Sixes Rd, Suite 225, Holly Springs, GA 30115-8721 | 2006-06-07 |
| 1134168883 | Meridian Surgical, PC | Surgery | 684 Sixes Rd, Suite 225, Holly Springs, GA 30115-8721 | 2006-06-06 |
| 1205875010 | Nancy R Doelling | Pediatrics | 684 Sixes Rd, Ste 220, Holly Springs, GA 30115-8721 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| 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 |
|---|---|---|---|---|
| 1144762444 | Integrity Clinical Labs | Clinical Medical Laboratory | 104 W Ballentine St, Holly Springs, NC 27540-8830 | 2016-11-17 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY SPRINGS |
| Zip Code | 30115 |
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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.