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KAISER PERMANENTE
NPI 1578606950
Pharmacy - Managed Care Organization Pharmacy in Austell, GA

Active since February 15, 2007CLIA 11D1065332 · Waiver
3640 TRAMORE POINTE PKWY, AUSTELL, GA 30106(770) 439-4703(770) 439-4743 Get Directions Write a Review

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

Record update history: Aug 4, 2021, Dec 3, 2015 (2 updates tracked since 2015).

About Kaiser Permanente NPPES

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

KAISER PERMANENTE (NPI 1578606950) is a healthcare organization registered as a managed care organization pharmacy in Austell, Georgia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Diane Sanders, Phrm Compl Mang, as its authorized official.

NPPES Registry Identity

NPI1578606950
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Location Address3640 TRAMORE POINTE PKWYAustell, GA 30106-6825
Mailing Address3640 Tramore Pointe PkwyAustell, GA 30106-6825 · (770) 439-4703 · Fax (770) 439-4743
Phone(770) 439-4703
Fax(770) 439-4743
Organization SubpartNo
Authorized OfficialDiane SandersPhrm Compl Mang · (404) 949-5242
Enumeration DateFebruary 15, 2007
Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
✔ NPI 1578606950 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 · PHRE009118
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.
3640 TRAMORE POINTE PKWY, Austell, GA 30106
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Other Names 1

Doing Business AsKaiser Permanente

Other Identifiers 1

Other2016476Pk

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 Waiver 11D1065332

Kaiser Permanente West Cobb Laboratory · Austell, GA
Active · expires May 19, 2027
CLIA Number11D1065332
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorDavid A. Ecklund
Laboratory Phone(770) 439-4751
Laboratory LocationKaiser Permanente West Cobb Laboratory3640 Tramore Point Parkway, Austell, GA 30106
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. EVELYN AKINSANMI DARIUS M.D.
Family Medicine
3640 TRAMORE POINTE PKWY
AUSTELL, GA 30106
Cobb County (404) 365-0966
DR. LORRIE LAY
Pharmacist
3640 TRAMORE POINTE PKWY
AUSTELL, GA 30106
Cobb County (770) 439-4703
BONNIE P ELLENOFF DO
Family Medicine
3640 TRAMORE POINTE PKWY, KAISER PERMANENTE WEST COBB MEDICAL CENTER
AUSTELL, GA 30106
Cobb County (770) 439-4700
MOISE JEAN M.D.
Internal Medicine
3640 TRAMORE POINTE PKWY, KAISER PERMANENTE WEST COBB MEDICAL CENTER
AUSTELL, GA 30106
Cobb County (404) 365-0966
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Clinical Medical Laboratory
3640 TRAMORE POINTE PKWY
AUSTELL, GA 30106
Cobb County (770) 439-4713
ALANA K MILLER-CLAYTON
Psychologist
3640 TRAMORE POINTE PKWY, KAISER PERMANENT WEST COBB MEDICAL OFFICE
AUSTELL, GA 30106
Cobb 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 1578606950. It was assigned to this organization in the NPPES registry on February 15, 2007. The provider is doing business as Kaiser Permanente.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 3640 Tramore Pointe Pkwy, Austell, GA 30106. The listed phone number is (770) 439-4703.

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 Waiver (number 11D1065332) is associated with this NPI, valid through May 19, 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.