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KAISER PERMANENTE SANDY SPRINGS
NPI 1811321763
Pharmacy - Managed Care Organization Pharmacy in Atlanta, GA

Active since August 28, 2013CLIA 11D2066504 · Waiver
1100 LAKE HEARN DR STE 500, ATLANTA, GA 30342(404) 845-4530(404) 845-4531 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 Sandy Springs NPPES

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

KAISER PERMANENTE SANDY SPRINGS (NPI 1811321763) is a healthcare organization registered as a managed care organization pharmacy in Atlanta, Georgia and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Diane Sanders, Pharmacy Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1811321763
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Location Address1100 LAKE HEARN DR STE 500Atlanta, GA 30342-1548
Mailing Address1100 Lake Hearn Dr Ste 500Atlanta, GA 30342-1548 · (404) 845-4530 · Fax (404) 845-4531
Phone(404) 845-4530
Fax(404) 845-4531
Organization SubpartNo
Authorized OfficialDiane SandersPharmacy Compliance Manager · (404) 949-5336
Enumeration DateAugust 28, 2013
Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
✔ NPI 1811321763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Managed Care Organization PharmacySuppliers
Taxonomy Code3336M0003X
License✔ Licensed in GA · PHRE009952
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
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1100 LAKE HEARN DR STE 500, Atlanta, GA 30342
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Other Names 1

Doing Business AsKaiser Permanente Sandy Springs

Other Identifiers 1

Other2141469Pk

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 11D2066504

Kaiser Permanente Sandy Springs Laboratory · Atlanta, GA
Active · expires May 12, 2027
CLIA Number11D2066504
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorDavid H. Seidel
Laboratory Phone(404) 845-4520
Laboratory LocationKaiser Permanente Sandy Springs Laboratory1100 Lake Hearn Drive, NE, Suite 500, Atlanta, GA 30342
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1811321763. It was assigned to this organization in the NPPES registry on August 28, 2013. The provider is doing business as Kaiser Permanente Sandy Springs.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 1100 Lake Hearn Dr Ste 500, Atlanta, GA 30342. The listed phone number is (404) 845-4530.

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 11D2066504) is associated with this NPI, valid through May 12, 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.