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KAISER PERMANENTE PANOLA
NPI 1487769378
Pharmacy - Managed Care Organization Pharmacy in Lithonia, GA

Active since August 20, 2006
5440 HILLANDALE DR, LITHONIA, GA 30058(770) 322-2737(770) 322-3283 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaiser Permanente Panola NPPES

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

KAISER PERMANENTE PANOLA (NPI 1487769378) is a healthcare organization registered as a managed care organization pharmacy in Lithonia, Georgia and active in the NPI registry since August 2006. The organization lists Diane Sanders, Phcy Compliance Mgr, as its authorized official.

NPPES Registry Identity

NPI1487769378
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Location Address5440 HILLANDALE DRLithonia, GA 30058-4865
Mailing Address5440 Hillandale DrLithonia, GA 30058-4865 · (770) 322-2737 · Fax (770) 322-3283
Phone(770) 322-2737
Fax(770) 322-3283
Organization SubpartNo
Authorized OfficialDiane SandersPhcy Compliance Mgr · (770) 712-5654
Enumeration DateAugust 20, 2006
Last NPPES UpdateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1487769378 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 · PHRE007143
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.

5440 HILLANDALE DR, Lithonia, GA 30058
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Other Names 1

Doing Business AsKaiser Permanente Panola

Other Identifiers 1

Other1136743Ncpdp 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 20

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

DR. ERIC WILSON MD
Family Medicine
5440 HILLANDALE DR, KAISER PERMANENTE PANOLA MEDICAL CENTER
LITHONIA, GA 30058
Dekalb County (770) 322-2777
DR. AMY MARIE SCHLABACH PHARMD
Pharmacist
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 365-0966
RICIA TAYLOR RD/N, LD, CDE
Dietitian, Registered
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (770) 322-3210
MRS. SHARON JACKSON WHITE F.N.P.
Nurse Practitioner (Family)
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 365-0966
DR. JESSICA NKECHIYERE ORDU MD
Student in an Organized Health Care Education/Training Program
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 365-0966
MRS. RUMBIDZAI CUNNINGHAM FNP-C
Nurse Practitioner (Obstetrics & Gynecology)
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 364-7285
GUILLERMO F VALLS MD
Obstetrics & Gynecology
5440 HILLANDALE DR, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
LITHONIA, GA 30058
Dekalb County (770) 322-2716
CHARMAINE GRAY MD
Pediatrics
5440 HILLANDALE DR, PEDIATRICS HEALTH CARE TEAM A
LITHONIA, GA 30058
Dekalb County (770) 322-2712

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 1487769378. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Kaiser Permanente Panola.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 5440 Hillandale Dr, Lithonia, GA 30058. The listed phone number is (770) 322-2737.

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 with the weekly NPPES data releases published by CMS.