OrganizationActive
Kaiser Foundation Health Plan of Georgia Inc
NPI 1417214925 · Clinic Pharmacy · Kennesaw, GA
Kaiser Foundation Health Plan of Georgia Inc is a Clinic Pharmacy organization in Kennesaw, GA (NPI 1417214925).
Provider details
- NPI number
- 1417214925
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Diane Sanders, Pharmacy Compliance Manager(770) 712-5654
- License
- PHCL000017 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
750 Townpark Ln Nw
Kennesaw, GA 30144-5579
Phone: (770) 514-5636
Fax: (770) 794-4009
Street-level locationGet directions
Mailing address
750 Townpark Ln Nw
Kennesaw, GA 30144-5579
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Townpark Clinic Pharmacy
- Doing business as
- Kaiser Permanente Townpark Clinic Pharmacy
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2021-08-04
- Certified
- 2021-08-04
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 1417214925, 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 Clinic 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 750 Townpark Ln Nw, Kennesaw, GA 30144-5579.
- 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 (770) 514-5636.
- 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 (1417214925) 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.