Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaiser Foundation Health Plan of Georgia, Inc

Organization Managed Care Organization Pharmacy · NPI 1053612119

Kaiser Foundation Health Plan of Georgia, Inc is a Managed Care Organization Pharmacy in Newnan, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 Newnan Crossing Byp
Newnan, GA 30265-1063
Phone: (770) 304-4410
Fax: (770) 304-4402
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Managed Care Organization Pharmacy (primary) Taxonomy 3336M0003X · Licence PHRE009710 (GA)

Record details

NPI number1053612119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Pharmacy Compliance Manager · (770) 712-5654
Other names Kaiser Permanente Newnan; Kaiser Permanente Newnan
NPI enumeratedNovember 5, 2010
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address205 Newnan Crossing Byp, Newnan, GA 30265-1063