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 Clinic Pharmacy · NPI 1508123811

Kaiser Foundation Health Plan of Georgia Inc is a Clinic Pharmacy in Duluth, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
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) 931-6188
Fax: (770) 931-6375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence PHCL000015 (GA)

Record details

NPI number1508123811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Pharmacy Compliance Manager · (770) 712-5654
Other names Kaiser Permanente Gwinnett Clinic Pharmacy; Kaiser Permanente Gwinnett Clinic Pharmacy
NPI enumeratedApril 12, 2012
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address3650 Steve Reynolds Blvd, Duluth, GA 30096-4506