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KAISER PERMANENTE STONECREST
NPI 1366622912
Pharmacy - Managed Care Organization Pharmacy in Lithonia, GA

Active since November 13, 2007CLIA 11D1073893 · Microscopy
8011 MALL PKWY, LITHONIA, GA 30038(678) 323-7580(404) 949-5242 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaiser Permanente Stonecrest NPPES

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

KAISER PERMANENTE STONECREST (NPI 1366622912) is a healthcare organization registered as a managed care organization pharmacy in Lithonia, Georgia and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through September 25, 2027 and lists Diane Sanders, Pharmacy Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1366622912
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Location Address8011 MALL PKWYLithonia, GA 30038-2543
Mailing Address8011 Mall PkwyLithonia, GA 30038-2543 · (678) 323-7580 · Fax (404) 949-5242
Phone(678) 323-7580
Fax(404) 949-5242
Organization SubpartNo
Authorized OfficialDiane SandersPharmacy Compliance Manager · (770) 712-5654
Enumeration DateNovember 13, 2007
Last NPPES UpdateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1366622912 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 · PHRE009408
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.
8011 MALL PKWY, Lithonia, GA 30038
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Other Names 1

Doing Business AsKaiser Permanente Stonecrest

Other Identifiers 1

Other1156531Ncpdp 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 ›

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 for Provider-Performed Microscopy Procedures (PPMP) 11D1073893

Kaiser Permanente Stonecrest Mob · Lithonia, GA
Active · expires Sep 25, 2027
CLIA Number11D1073893
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorValens M. Plummer
Laboratory Phone(678) 323-7520
Laboratory LocationKaiser Permanente Stonecrest Mob8011 Mall Parkway, Lithonia, GA 30038
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Clinical Medical Laboratory
8011 MALL PKWY
LITHONIA, GA 30038
Dekalb County (678) 323-7512
JASMINE ADEGBUJI PHARMD
Pharmacist
8011 MALL PKWY
STONECREST, GA 30038
Dekalb County (678) 697-1764
DR. SHANTAE MANGAROO M.D.
Family Medicine
8011 MALL PKWY
LITHONIA, GA 30038
Dekalb County (404) 518-8056

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 1366622912. It was assigned to this organization in the NPPES registry on November 13, 2007. The provider is doing business as Kaiser Permanente Stonecrest.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 8011 Mall Pkwy, Lithonia, GA 30038. The listed phone number is (678) 323-7580.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 11D1073893) is associated with this NPI, valid through September 25, 2027. 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.