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 Pharmacy · NPI 1396781779

Kaiser Foundation Health Plan of Georgia, Inc is a Pharmacy in Duluth, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

3650 Steve Reynolds Blvd
Duluth, GA 30096-4506
Phone: (770) 931-6134
Fax: (770) 931-6403
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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 PHRE07776 (GA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1396781779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Phcy Compliance Mgr · (770) 712-5654
Other names Kaiser Permanente Gwinnett; Kaiser Permanente Gwinnett
NPI enumeratedJune 22, 2006
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address3650 Steve Reynolds Blvd, Duluth, GA 30096-4506

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