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 1245567783

Kaiser Foundation Health Plan of Georgia, Inc is a Managed Care Organization Pharmacy in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
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

2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Phone: (770) 603-3847
Fax: (770) 603-3561
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 PHCL000019 (GA)

Record details

NPI number1245567783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Pharmacy Compliance Manager · (770) 712-5654
Other names Kaiser Permanente Southwood Infusion Pharmacy; Kaiser Permanente Southwood Infusion Pharmacy
NPI enumeratedNovember 4, 2009
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500