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

Kaiser Foundation Health Plan of Georgia, Inc

Organization Pharmacy · NPI 1063733210

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

Licensed in
GA
In the registry since
2010
Specialties on file
2
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

2505 Dallas Hwy SW
Marietta, GA 30064-2659
Phone: (770) 792-2010
Fax: (770) 792-2003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Managed Care Organization Pharmacy (primary) Taxonomy 3336M0003X · Licence PHRE009685 (GA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1063733210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Pharmacy Compliance Manager · (404) 949-5336
Other names Kaiser Permanente West Marietta
NPI enumeratedJune 22, 2010
Last updated in NPPESJuly 10, 2015
Mailing address3495 Piedmont Rd Ne, Atlanta, GA 30305-1717

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