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KAISER PERMANENTE GWINNETT
NPI 1396781779
Pharmacy - Managed Care Organization Pharmacy in Duluth, GA

Active since June 22, 2006CLIA 11D0933683 · Certificate of Compliance
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096(770) 931-6134(770) 931-6403 Get Directions Write a Review

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

About Kaiser Permanente Gwinnett NPPES

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

KAISER PERMANENTE GWINNETT (NPI 1396781779) is a healthcare organization registered as a managed care organization pharmacy in Duluth, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 14, 2027 and lists Diane Sanders, Phcy Compliance Mgr, as its authorized official.

NPPES Registry Identity

NPI1396781779
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Location Address3650 STEVE REYNOLDS BLVDDuluth, GA 30096-4506
Mailing Address3650 Steve Reynolds BlvdDuluth, GA 30096-4506 · (770) 931-6134 · Fax (770) 931-6403
Phone(770) 931-6134
Fax(770) 931-6403
Organization SubpartNo
Authorized OfficialDiane SandersPhcy Compliance Mgr · (770) 712-5654
Enumeration DateJune 22, 2006
Last NPPES UpdateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1396781779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Managed Care Organization PharmacySuppliers
Taxonomy Code3336M0003X
License✔ Licensed in GA · PHRE07776
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.
Also ListedPharmacyTaxonomy 333600000X
3650 STEVE REYNOLDS BLVD, Duluth, GA 30096
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Other Names 1

Doing Business AsKaiser Permanente Gwinnett

Other Identifiers 1

Other1140956Ncpdp 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 of Compliance 11D0933683

Kaiser Permanente - Gwinnett Medical Center · Duluth, GA
Active · expires Jan 14, 2027
CLIA Number11D0933683
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorChristine D. Kofman
Laboratory Phone(770) 931-6112
Laboratory LocationKaiser Permanente - Gwinnett Medical Center3650 Steve Reynolds Boulevard, Duluth, GA 30096
CLIA data matches this NPI record on: Address 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. DANIEL CRAIG GRIZZLE M.D.
Family Medicine
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Gwinnett County (770) 931-6220
SHAWNAY NICOLE MAZELL M.D.
Psychiatry & Neurology (Neurology)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Gwinnett County (678) 549-6257
PATRICIA BEATRIZ MASSO MALDONADO AUD
Audiologist
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Gwinnett County (404) 365-0966
MS. MICHELLE S BERKOWITZ CNM
Midwife
3650 STEVE REYNOLDS BLVD, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
DULUTH, GA 30096
Gwinnett County (770) 931-6110
LINDA H REMLINGER CNP
Pediatrics
3650 STEVE REYNOLDS BLVD, PEDIATRICS HEALTH CARE TEAM A
DULUTH, GA 30096
Gwinnett County (770) 931-6012
DR. TERI L LAURENTI PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Gwinnett County (770) 931-6176
KELLEY WAGES STARNES CNM
Midwife
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Gwinnett County (770) 931-6110
LESLIE JEAN QUACKENBUSH LCSW
Social Worker (Clinical)
3650 STEVE REYNOLDS BLVD, GWINNETT COMPREHENSIVE MEDICAL CENTER
DULUTH, GA 30096
Gwinnett County (919) 764-2000

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 1396781779. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Kaiser Permanente Gwinnett.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 3650 Steve Reynolds Blvd, Duluth, GA 30096. The listed phone number is (770) 931-6134.

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 11D0933683) is associated with this NPI, valid through January 14, 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 23 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.