KAISER PERMANENTE CRESCENT CENTER
NPI 1578678462
Pharmacy - Managed Care Organization Pharmacy in Tucker, GA

Q: 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.

Active since August 20, 2006

200 CRESCENT CENTER PKWY, TUCKER, GA 30084(770) 496-3523(770) 496-3713 Get Directions Write a Review

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

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About Kaiser Permanente Crescent Center NPPES

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

KAISER PERMANENTE CRESCENT CENTER (NPI 1578678462) is a healthcare organization registered as a managed care organization pharmacy in Tucker, Georgia and active in the NPI registry since August 2006. The organization lists Diane Sanders-harvey, Phcy Compliance Mgr, as its authorized official.

NPPES Registry Identity

NPI1578678462

Entity TypeOrganization

Primary Taxonomy3336M0003X

Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Location Address200 CRESCENT CENTER PKWYTucker, GA 30084-7047

Mailing Address200 Crescent Center PkwyTucker, GA 30084-7047 · (770) 496-3523 · Fax (770) 496-3713

Phone(770) 496-3523

Fax(770) 496-3713

Organization SubpartNo

Authorized OfficialDiane Sanders-harveyPhcy Compliance Mgr · (404) 949-5336

Enumeration DateAugust 20, 2006

Last NPPES UpdateAugust 4, 2021

NPPES CertifiedAugust 4, 2021

✔ NPI 1578678462 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 · PHRE007007

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.

200 CRESCENT CENTER PKWY, Tucker, GA 30084

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Other Names 1

Doing Business AsKaiser Permanente Crescent Center

Other Identifiers 1

Other1136111Ncpdp 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. SWETA PATEL PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

200 CRESCENT CENTER PKWY
TUCKER, GA 30084

Dekalb County (404) 364-4848

MINH THU NGUYEN DANG

Pharmacist

200 CRESCENT CENTER PKWY
TUCKER, GA 30084

Dekalb County (770) 220-3787

JAMES W HAMILTON LPC

Psychologist (Cognitive & Behavioral)

200 CRESCENT CENTER PKWY, DEPARTMENT OF BEHAVIORAL HEALTH
TUCKER, GA 30084

Dekalb County (770) 496-3609

STANLEY JOHN JAGIELSKI M.D.

Obstetrics & Gynecology

200 CRESCENT CENTER PKWY, KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER
TUCKER, GA 30084

Dekalb County (770) 496-3525

SPANDANA THENKABAIL MD

Internal Medicine

200 CRESCENT CENTER PKWY
TUCKER, GA 30084

Dekalb County (404) 365-0966

KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.

Clinical Medical Laboratory

200 CRESCENT CENTER PKWY
TUCKER, GA 30084

Dekalb County (770) 496-3515

ANDREA PALMER PHARMD

Pharmacist

200 CRESCENT CENTER PKWY
TUCKER, GA 30084

Dekalb County (770) 220-3787

MRS. JAN T. SMITH RPH

Pharmacist

200 CRESCENT CENTER PKWY
TUCKER, GA 30084

Dekalb County (770) 496-3523

CHARLES E CURRY JR. MD

Family Medicine

200 CRESCENT CENTER PKWY, INTERNAL MEDICINE HEALTH CARE TEAM A
TUCKER, GA 30084

Dekalb County (770) 496-3625

KEITH R BRUNO MD

Dermatology

200 CRESCENT CENTER PKWY, DEPARTMENT OF DERMATOLOGY
TUCKER, GA 30084

Dekalb County (770) 496-3605

JE'NINE LINDIE RN

Registered Nurse (Maternal Newborn)

200 CRESCENT CENTER PKWY
TUCKER, GA 30084

Dekalb County (404) 823-5673

DR. BEVERLY DOTSON PHARMD

Pharmacist

200 CRESCENT CENTER PKWY
TUCKER, GA 30084

Dekalb County (770) 496-3557

JOSHUA I BARZILAY MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

200 CRESCENT CENTER PKWY, DEPARTMENT OF DIABETES CARE
TUCKER, GA 30084

Dekalb County (404) 364-4757

DR. HERBERT ALFRED SINGLETON M.D.

Pediatrics

200 CRESCENT CENTER PKWY, KP CRESCENT CENTER MEDICAL OFFICE
TUCKER, GA 30084

Dekalb County (770) 496-3700

DR. DEREK KEITH RICHARDSON M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

200 CRESCENT CENTER PKWY, KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER
TUCKER, GA 30084

Dekalb County (770) 496-3609

ELLEN H BERN LPC

Counselor (Professional)

200 CRESCENT CENTER PKWY, DEPARTMENT OF BEHAVIORAL HEALTH
TUCKER, GA 30084

Dekalb County (770) 496-3609

DR. SANDERS MOMPREMIER M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

200 CRESCENT CENTER PKWY
TUCKER, GA 30084

Dekalb County (404) 365-0966

DR. MYRA W. JONES PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

200 CRESCENT CENTER PKWY
TUCKER, GA 30084

Dekalb County (770) 496-3565

SOHAIB A. KHALID MD

Family Medicine

200 CRESCENT CENTER PKWY, KAISER PERMANENTE CRESCENT MEDICAL CENTER
TUCKER, GA 30084

Dekalb County (770) 496-3414

MRS. DANICE B. MARINEY RN IBCLC

Registered Nurse (Lactation Consultant)

200 CRESCENT CENTER PKWY
TUCKER, GA 30084

Dekalb County (770) 496-3676

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 1578678462. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Kaiser Permanente Crescent Center.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 200 Crescent Center Pkwy, Tucker, GA 30084. The listed phone number is (770) 496-3523.

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 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.