KAISER PERMANENTE HOLLY SPRINGS
NPI 1881910552
Pharmacy - Managed Care Organization Pharmacy in Holly Springs, 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 April 20, 2010

684 SIXES RD STE 275, HOLLY SPRINGS, GA 30115(770) 852-2440(770) 852-2441 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kaiser Permanente Holly Springs NPPES

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

KAISER PERMANENTE HOLLY SPRINGS (NPI 1881910552) is a healthcare organization registered as a managed care organization pharmacy in Holly Springs, Georgia and active in the NPI registry since April 2010. The organization lists Diane Sanders, Pharmacy Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1881910552

Entity TypeOrganization

Primary Taxonomy3336M0003X

Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Location Address684 SIXES RD STE 275Holly Springs, GA 30115-8721

Mailing Address684 Sixes Rd Ste 275Holly Springs, GA 30115-8721 · (770) 852-2440 · Fax (770) 852-2441

Phone(770) 852-2440

Fax(770) 852-2441

Organization SubpartNo

Authorized OfficialDiane SandersPharmacy Compliance Manager · (770) 712-5654

Enumeration DateApril 20, 2010

Last NPPES UpdateAugust 4, 2021

NPPES CertifiedAugust 4, 2021

✔ NPI 1881910552 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 · PHRE009659

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.

684 SIXES RD STE 275, Holly Springs, GA 30115

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Other Names 1

Doing Business AsKaiser Permanente Holly Springs

Other Identifiers 1

Other1159715Ncpdp 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 2

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

JENNIFER YAM MD

Family Medicine

684 SIXES RD STE 275
HOLLY SPRINGS, GA 30115

Cherokee County (404) 365-0966

IJEOMA CECILIA ANYANWU M.D.

Pediatrics

684 SIXES RD STE 275
HOLLY SPRINGS, GA 30115

Cherokee County (770) 852-2440

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 1881910552. It was assigned to this organization in the NPPES registry on April 20, 2010. The provider is doing business as Kaiser Permanente Holly Springs.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 684 Sixes Rd Ste 275, Holly Springs, GA 30115. The listed phone number is (770) 852-2440.

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.