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KAISER PERMANENTE LAWRENCEVILLE
NPI 1144546920
Pharmacy - Managed Care Organization Pharmacy in Lawrenceville, GA

Active since April 19, 2010
455 PHILIP BLVD STE 130, LAWRENCEVILLE, GA 30046(678) 985-5040(678) 985-5003 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaiser Permanente Lawrenceville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER PERMANENTE LAWRENCEVILLE (NPI 1144546920) is a healthcare organization registered as a managed care organization pharmacy in Lawrenceville, Georgia and active in the NPI registry since April 2010. The organization lists Diane Sanders, Pharmacy Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1144546920
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Location Address455 PHILIP BLVD STE 130Lawrenceville, GA 30046-8767
Mailing Address455 Philip Blvd Ste 130Lawrenceville, GA 30046-8767 · (678) 985-5040 · Fax (678) 985-5003
Phone(678) 985-5040
Fax(678) 985-5003
Organization SubpartNo
Authorized OfficialDiane SandersPharmacy Compliance Manager · (770) 712-5654
Enumeration DateApril 19, 2010
Last NPPES UpdateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1144546920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Managed Care Organization PharmacySuppliers
Taxonomy Code3336M0003X
License✔ Licensed in GA · PHRE009655
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.
455 PHILIP BLVD STE 130, Lawrenceville, GA 30046
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Other Names 1

Doing Business AsKaiser Permanente Lawrenceville

Other Identifiers 1

Other1159703Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANA RABBI MD
Family Medicine
455 PHILIP BLVD STE 130, KAISER PERMANENTE LAWRENCEVILLE MEDICAL OFFICE
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 985-5000
DR. THENMOZHI SINGARAM MD
Family Medicine
455 PHILIP BLVD STE 130, KAISER PERMANENTE LAWRENCEVILLE MEDICAL CENTER
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 985-5000
EMILY RENEE LEVINE LCSW
Social Worker (Clinical)
455 PHILIP BLVD STE 130
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 225-0350
RICHARD S ELLIN MD
Internal Medicine
455 PHILIP BLVD STE 130, KAISER PERMANENTE LAWRENCEVILLE MEDICAL OFFICE
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 985-5000
MR. EDDIE LEE WILLIAMS JR. PHARMD
Pharmacist
455 PHILIP BLVD STE 130
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 985-5040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser Foundation Health Plan Of Georgia, Inc.'s NPI number?

The NPI number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1144546920. It was assigned to this organization in the NPPES registry on April 19, 2010. The provider is doing business as Kaiser Permanente Lawrenceville.

Where is Kaiser Foundation Health Plan Of Georgia, Inc. located?

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 455 Philip Blvd Ste 130, Lawrenceville, GA 30046. The listed phone number is (678) 985-5040.

What is Kaiser Foundation Health Plan Of Georgia, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Managed Care Organization Pharmacy, with taxonomy code 3336M0003X.

What insurance does Kaiser Foundation Health Plan Of Georgia, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 24 other insurers list Kaiser Foundation Health Plan Of Georgia, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Of Georgia, Inc. was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.