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KAISER PERMANENTE SOUTHWOOD INFUSION PHARMACY
NPI 1245567783
Pharmacy - Managed Care Organization Pharmacy in Jonesboro, GA

Active since November 04, 2009CLIA 11D0723671 · Certificate of Compliance
2400 MOUNT ZION PKWY, JONESBORO, GA 30236(770) 603-3847(770) 603-3561 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Kaiser Permanente Southwood Infusion Pharmacy NPPES

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

KAISER PERMANENTE SOUTHWOOD INFUSION PHARMACY (NPI 1245567783) is a healthcare organization registered as a managed care organization pharmacy in Jonesboro, Georgia and active in the NPI registry since November 2009. The organization holds a CLIA Certificate of Compliance certificate valid through April 26, 2028 and lists Diane Sanders, Pharmacy Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1245567783
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Location Address2400 MOUNT ZION PKWYJonesboro, GA 30236-2500
Mailing Address2400 Mount Zion PkwyJonesboro, GA 30236-2500 · (770) 603-3847 · Fax (770) 603-3561
Phone(770) 603-3847
Fax(770) 603-3561
Organization SubpartNo
Authorized OfficialDiane SandersPharmacy Compliance Manager · (770) 712-5654
Enumeration DateNovember 4, 2009
Last NPPES UpdateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1245567783 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 · PHCL000019
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.
2400 MOUNT ZION PKWY, Jonesboro, GA 30236
Open in Google Maps ↗

Other Names 1

Doing Business AsKaiser Permanente Southwood Infusion Pharmacy

Other Identifiers 1

Other2122375Pk

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 11D0723671

Kaiser Permanente Southwood · Jonesboro, GA
Active · expires Apr 26, 2028
CLIA Number11D0723671
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorBarby Simmons
Laboratory Phone(770) 603-3534
Laboratory LocationKaiser Permanente Southwood2400 Mt Zion Pkwy, Jonesboro, GA 30236
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

DR. EMILY KING DESCHLER M.D.
Ophthalmology
2400 MOUNT ZION PKWY, KRUISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (614) 293-8116
DR. SYLVIA E MORRIS MD
Internal Medicine
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
JONESBORO, GA 30236
Clayton County (770) 603-3649
HANNAH YAEL PAULL
Psychologist
2400 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (404) 375-3328
SHAWN G KASER MD
Internal Medicine (Cardiovascular Disease)
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (574) 232-5928
BOYEDE FRANKLIN ADEMODI M.D
Family Medicine (Adult Medicine)
2400 MOUNT ZION PKWY, DEPARTMENT OF INTERNAL MEDICINE
JONESBORO, GA 30236
Clayton County (770) 603-3667
ERIC GUERRA RPH
Pharmacist (Ambulatory Care)
2400 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (770) 603-3511
KAREN L. WOODS CNM
Advanced Practice Midwife
2400 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (404) 365-0966
KAYLA RANDLE PHARMD
Pharmacist (Oncology)
2400 MOUNT ZION PKWY, SUITE 116
JONESBORO, GA 30236
Clayton County (770) 603-4265

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 1245567783. It was assigned to this organization in the NPPES registry on November 4, 2009. The provider is doing business as Kaiser Permanente Southwood Infusion Pharmacy.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 2400 Mount Zion Pkwy, Jonesboro, GA 30236. The listed phone number is (770) 603-3847.

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.

Does Kaiser Foundation Health Plan Of Georgia, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0723671) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.