P Praxis·MD
● Active Type 2 · Organization

Kaiser Foundation Health Plan Of Georgia, Inc.

Pharmacy·Newnan, GA· NPI 1053612119 · Enumerated 2010 · 15 years on NPI
Kaiser Foundation Health Plan Of Georgia, Inc. is 1 of 37 pharmacy organizations in Georgia.
NPI age
15 years
Enumerated 2010-11-05
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sanders
Pharmacy Compliance Manager
Last NPPES update
2021-08-04
Source: monthly bulk 2026-05

How this organization compares

Across 37 active pharmacy providers in Georgia.

NPI age
15 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-11Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
205 Newnan Crossing Byp
Newnan, GA 302651063
📞 7703044410fax 7703044402
Mailing address
205 Newnan Crossing Byp
Newnan, GA 302651063
📞 7703044410fax 7703044402

Authorized official

Diane Sanders
Pharmacy Compliance Manager
📞 7707125654

Specialties

  • Pharmacy Primary
    A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
    GA license #PHRE009710 taxonomy 3336M0003X

Identifiers

TypeValueNotes
01 1160554 NCPDP PROVIDER IDENTIFICATION NUMBER

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Kaiser Permanente Newnan
    Type code 3 recorded 2021-08-04
  • Kaiser Permanente Newnan
    Type code 3 recorded 2010-11-05

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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