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 1366622912

Kaiser Foundation Health Plan of Georgia, Inc is a Managed Care Organization Pharmacy in Lithonia, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

8011 Mall Pkwy
Lithonia, GA 30038-2543
Phone: (678) 323-7580
Fax: (404) 949-5242
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 PHRE009408 (GA)

Record details

NPI number1366622912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Pharmacy Compliance Manager · (770) 712-5654
Other names Kaiser Permanente Stonecrest; Kaiser Permanente Stonecrest
NPI enumeratedNovember 13, 2007
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address8011 Mall Pkwy, Lithonia, GA 30038-2543

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