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Kaiser Foundation Health Plan of Georgia, Inc.

Managed Care Organization Pharmacy in Fayetteville, GA · enumerated 2011 · authorized official Diane Sanders, Pharmacy Compliance Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831495803

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Registry record

Entity type Organization (Type 2)
Legal business name Kaiser Foundation Health Plan of Georgia, Inc.
Other name <Unavail>
Practice address 101 Banks Sta, Fayetteville, GA, 30214
Phone (678) 610-3701
Fax (678) 610-3703
Enumeration date Feb 8, 2011
Last updated in NPPES Aug 4, 2021

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336M0003X Managed Care Organization Pharmacy Suppliers · License PHRE009731 (GA) Primary

Authorized official

Name Diane Sanders
Title Pharmacy Compliance Manager
Phone (770) 712-5654

Other identifiers

Identifier Type State Issuer
2127407 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-08-04. Verify at npiregistry.cms.hhs.gov.
Where is Kaiser Foundation Health Plan of Georgia, Inc. located?
The practice location on file with NPPES is in Fayetteville, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-04.