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 1831495803

Kaiser Foundation Health Plan of Georgia, Inc is a Pharmacy in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
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

101 Banks Sta
Fayetteville, GA 30214-7507
Phone: (678) 610-3701
Fax: (678) 610-3703
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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 PHRE009731 (GA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1831495803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Pharmacy Compliance Manager · (770) 712-5654
Other names Kaiser Permanente Fayette; Kaiser Permanente Fayette
NPI enumeratedFebruary 8, 2011
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address101 Banks Sta, Fayetteville, GA 30214-7507

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