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KAISER PERMANENTE FAYETTE
NPI 1831495803
Pharmacy - Managed Care Organization Pharmacy in Fayetteville, GA

Active since February 08, 2011CLIA 11D2017908 · Microscopy
101 BANKS STA, FAYETTEVILLE, GA 30214(678) 610-3701(678) 610-3703 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaiser Permanente Fayette NPPES

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

KAISER PERMANENTE FAYETTE (NPI 1831495803) is a healthcare organization registered as a managed care organization pharmacy in Fayetteville, Georgia and active in the NPI registry since February 2011. The organization holds a CLIA Microscopy certificate valid through December 20, 2026 and lists Diane Sanders, Pharmacy Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1831495803
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Location Address101 BANKS STAFayetteville, GA 30214-7507
Mailing Address101 Banks StaFayetteville, GA 30214-7507 · (678) 610-3701 · Fax (678) 610-3703
Phone(678) 610-3701
Fax(678) 610-3703
Organization SubpartNo
Authorized OfficialDiane SandersPharmacy Compliance Manager · (770) 712-5654
Enumeration DateFebruary 8, 2011
Last NPPES UpdateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1831495803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Managed Care Organization PharmacySuppliers
Taxonomy Code3336M0003X
License✔ Licensed in GA · PHRE009731
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
101 BANKS STA, Fayetteville, GA 30214
Open in Google Maps ↗

Other Names 1

Doing Business AsKaiser Permanente Fayette

Other Identifiers 1

Other2127407Pk

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2017908

Kaiser Permanente Fayetteville Medical Office · Fayetteville, GA
Active · expires Dec 20, 2026
CLIA Number11D2017908
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorBelkis Vera Pimentel
Laboratory Phone(678) 610-3724
Laboratory LocationKaiser Permanente Fayetteville Medical Office101 Banks Station, Fayetteville, GA 30214
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

DR. VIVIANA INES GOLDENBERG M.D
Family Medicine
101 BANKS STA, KAISER PERMANENTE FAYETTE MEDICAL CENTER
FAYETTEVILLE, GA 30214
Fayette County (678) 610-3700
DR. SAMIR G PATEL MD
Internal Medicine
101 BANKS STA, KAISER PERMANENTE FAYETT MEDICAL OFFICE
FAYETTEVILLE, GA 30214
Fayette County (678) 610-3700
ROSALYN CARROLL REESE NORMAN PHARMD
Pharmacist (Ambulatory Care)
101 BANKS STA
FAYETTEVILLE, GA 30214
Fayette County (404) 439-4456
MR. EMILE C PINERA M.D.
Internal Medicine
101 BANKS STA, KAISER PERMANENTE FAYETTE MEDICAL CENTER
FAYETTEVILLE, GA 30214
Fayette County (678) 610-3709
KAISER PERMANENTE
Clinical Medical Laboratory
101 BANKS STA
FAYETTEVILLE, GA 30214
Fayette County (678) 610-3700

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 1831495803. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as Kaiser Permanente Fayette.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 101 Banks Sta, Fayetteville, GA 30214. The listed phone number is (678) 610-3701.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 11D2017908) is associated with this NPI, valid through December 20, 2026. 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 4 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.