OrganizationActive
Kaiser Foundation Health Plan of Georgia, Inc.
NPI 1174826754 · Pharmacy · Conyers, GA
Kaiser Foundation Health Plan of Georgia, Inc. is a Pharmacy organization in Conyers, GA (NPI 1174826754).
Provider details
- NPI number
- 1174826754
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Diane Sanders, Pharmacy Compliance Manager(770) 712-5654
Specialties & taxonomies
Suppliers
- Managed Care Organization Pharmacy3336M0003X
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1478 Dogwood Dr Se
Conyers, GA 30013-5088
Phone: (678) 413-4321
Fax: (678) 413-4323
Street-level locationGet directions
Mailing address
1478 Dogwood Dr Se
Conyers, GA 30013-5088
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Conyers
- Doing business as
- Kaiser Permanente Conyers
Registry dates
- Enumerated
- 2010-12-21
- Last updated
- 2021-08-04
- Certified
- 2021-07-30
Frequently asked questions
- What is Kaiser Foundation Health Plan of Georgia, Inc.'s NPI number?
- Kaiser Foundation Health Plan of Georgia, Inc.'s National Provider Identifier (NPI) is 1174826754, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kaiser Foundation Health Plan of Georgia, Inc.?
- Kaiser Foundation Health Plan of Georgia, Inc. is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Kaiser Foundation Health Plan of Georgia, Inc. located?
- Kaiser Foundation Health Plan of Georgia, Inc.'s practice location on file with NPPES is 1478 Dogwood Dr Se, Conyers, GA 30013-5088.
- What is Kaiser Foundation Health Plan of Georgia, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Kaiser Foundation Health Plan of Georgia, Inc. is (678) 413-4321.
- Who is the authorized official for Kaiser Foundation Health Plan of Georgia, Inc.?
- The authorized official listed on Kaiser Foundation Health Plan of Georgia, Inc.'s NPPES record is Diane Sanders, Pharmacy Compliance Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kaiser Foundation Health Plan of Georgia, Inc.'s NPI active?
- Yes — Kaiser Foundation Health Plan of Georgia, Inc.'s NPI (1174826754) is active in the NPPES registry as of the last update on 2021-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.