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 1174826754

Kaiser Foundation Health Plan of Georgia, Inc is a Pharmacy in Conyers, 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

1478 Dogwood Dr SE
Conyers, GA 30013-5088
Phone: (678) 413-4321
Fax: (678) 413-4323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PHRE009716 (GA)
Managed Care Organization Pharmacy Taxonomy 3336M0003X

Record details

NPI number1174826754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Pharmacy Compliance Manager · (770) 712-5654
Other names Kaiser Permanente Conyers; Kaiser Permanente Conyers
NPI enumeratedDecember 21, 2010
Last updated in NPPESAugust 4, 2021
Certification dateJuly 30, 2021
Mailing address1478 Dogwood Dr Se, Conyers, GA 30013-5088

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