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 1487697264

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

1125 Town Center Village Dr
McDonough, GA 30253-5970
Phone: (678) 583-6560
Fax: (678) 583-6563
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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 PHRE008647 (GA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1487697264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Phcy Compliance Mgr · (770) 712-5654
Other names Kaiser Permanente Henry; Kaiser Permanente Henry
NPI enumeratedJune 13, 2006
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address1125 Town Center Village Dr, McDonough, GA 30253-5970

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