1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Pharmacy
  6. NPI Profile

KAISER PERMANENTE DECATUR PHARMACY
NPI 1699003681
Pharmacy - Managed Care Organization Pharmacy in Decatur, GA

Active since December 02, 2009
201 W PONCE DE LEON AVE, DECATUR, GA 30030(404) 687-7680(404) 687-7730 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 Decatur Pharmacy NPPES

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

KAISER PERMANENTE DECATUR PHARMACY (NPI 1699003681) is a healthcare organization registered as a managed care organization pharmacy in Decatur, Georgia and active in the NPI registry since December 2009. The organization lists Diane Sanders, Pharmacy Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1699003681
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Location Address201 W PONCE DE LEON AVEDecatur, GA 30030-3217
Mailing Address201 W Ponce De Leon AveDecatur, GA 30030-3217 · (404) 687-7680 · Fax (404) 687-7730
Phone(404) 687-7680
Fax(404) 687-7730
Organization SubpartNo
Authorized OfficialDiane SandersPharmacy Compliance Manager · (404) 949-5336
Enumeration DateDecember 2, 2009
Last NPPES UpdateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1699003681 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 · PHRE009629
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.
201 W PONCE DE LEON AVE, Decatur, GA 30030
Open in Google Maps ↗

Other Names 1

Doing Business AsKaiser Permanente Decatur Pharmacy

Other Identifiers 1

Other1159335Ncpdp 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 5

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

MR. JAMES REID MALONE R.PH,CGP.
Pharmacist (Geriatric)
201 W PONCE DE LEON AVE, 431
DECATUR, GA 30030
Dekalb County (404) 275-9202
KARLINE SAINTUS MD
Family Medicine
201 W PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 365-0966
SHANTRICE APPLEBY MD
Family Medicine
201 W PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 365-0966
DR. PAULA A BURGESS M.D.
Emergency Medicine
201 W PONCE DE LEON AVE, #32
DECATUR, GA 30030
Dekalb County (404) 502-8900
KAISER PERMANENTE
Clinical Medical Laboratory
201 W PONCE DE LEON AVE, SUITE A
DECATUR, GA 30030
Dekalb County (404) 687-7700

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 1699003681. It was assigned to this organization in the NPPES registry on December 2, 2009. The provider is doing business as Kaiser Permanente Decatur Pharmacy.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 201 W Ponce De Leon Ave, Decatur, GA 30030. The listed phone number is (404) 687-7680.

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.