KAISER PERMANENTE CONYERS
NPI 1174826754
Pharmacy in Conyers, GA

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

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since December 21, 2010

1478 DOGWOOD DR SE, CONYERS, GA 30013(678) 413-4321(678) 413-4323 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kaiser Permanente Conyers NPPES

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

KAISER PERMANENTE CONYERS (NPI 1174826754) is a healthcare organization registered as a pharmacy in Conyers, Georgia and active in the NPI registry since December 2010. The organization lists Diane Sanders, Pharmacy Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1174826754

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Location Address1478 DOGWOOD DR SEConyers, GA 30013-5088

Mailing Address1478 Dogwood Dr SeConyers, GA 30013-5088 · (678) 413-4321 · Fax (678) 413-4323

Phone(678) 413-4321

Fax(678) 413-4323

Organization SubpartNo

Authorized OfficialDiane SandersPharmacy Compliance Manager · (770) 712-5654

Enumeration DateDecember 21, 2010

Last NPPES UpdateAugust 4, 2021

NPPES CertifiedJuly 30, 2021

✔ NPI 1174826754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in GA · PHRE009716

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X

1478 DOGWOOD DR SE, Conyers, GA 30013

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Other Names 1

Doing Business AsKaiser Permanente Conyers

Other Identifiers 1

Other1160756Ncpdp 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 2

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

KAISER PERMANENTE

Clinical Medical Laboratory

1478 DOGWOOD DR SE, SUITE C
CONYERS, GA 30013

Rockdale County (678) 413-4320

CHIDINMA ONYINYE UKADIKE MD

Pediatrics

1478 DOGWOOD DR SE
CONYERS, GA 30013

Rockdale County (404) 365-0966

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 1174826754. It was assigned to this organization in the NPPES registry on December 21, 2010. The provider is doing business as Kaiser Permanente Conyers.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 1478 Dogwood Dr SE, Conyers, GA 30013. The listed phone number is (678) 413-4321.

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

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

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.