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 1699003681

Kaiser Foundation Health Plan of Georgia, Inc is a Managed Care Organization Pharmacy in Decatur, 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

201 W Ponce De Leon Ave
Decatur, GA 30030-3217
Phone: (404) 687-7680
Fax: (404) 687-7730
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 PHRE009629 (GA)

Record details

NPI number1699003681
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Pharmacy Compliance Manager · (404) 949-5336
Other names Kaiser Permanente Decatur Pharmacy; Kaiser Permanente Decatur Pharmacy
NPI enumeratedDecember 2, 2009
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address201 W Ponce De Leon Ave, Decatur, GA 30030-3217