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NPI 1245567783
● Active Type 2 · Organization
Kaiser Foundation Health Plan Of Georgia, Inc.
Pharmacy · Jonesboro, GA · NPI 1245567783
·
Enumerated 2009 · 16 years on NPI
Kaiser Foundation Health Plan Of Georgia, Inc. is 1 of 37 pharmacy organizations in Georgia.
NPI age
16 years
Enumerated 2009-11-04
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
16 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2009 → 2026
2009-11 Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
2400 Mount Zion Pkwy
Jonesboro, GA 302362500
📞 7706033847 fax 7706033561
Mailing address
2400 Mount Zion Pkwy
Jonesboro, GA 302362500
📞 7706033847 fax 7706033561
Authorized official
Diane Sanders
Pharmacy Compliance Manager
📞 7707125654
Individual providers at this organization
20 individual providers on file at this primary practice address.
Michael Adams , M.D.
Pediatrics
NPI 1629062195
Boyede Ademodi , M.D
Family Medicine
NPI 1043343387
Seeme Ahmad , MD
Psychiatry & Neurology
NPI 1306943394
Courtney Allen
Psychiatry & Neurology
NPI 1396139036
Yancey Aluisio , PHARMD, BCOP
Pharmacist
NPI 1740012277
Melissa Alves , PSY.D.
Psychologist
NPI 1851652218
Felix Ankomah , MD
Orthopaedic Surgery
NPI 1861998569
Christopher Armour , MD
Family Medicine
NPI 1659475010
Umacula Audelin , RN
Registered Nurse
NPI 1457149163
Reneathia Baker , MD
Pediatrics
NPI 1649224668
Mark Becknell , M.D.
Pediatrics
NPI 1164478848
Tamika Blue , FNP-BC
Family Medicine
NPI 1316796816
Joseph Brissette , MD
Emergency Medicine
NPI 1144249939
Anna Broadus , NP-C
Nurse Practitioner
NPI 1952849531
Niama Brown , PHARM.D.
Pharmacist
NPI 1275813628
Meghan Campbell , PA-C
Physician Assistant
NPI 1457560922
Sarah Charlton , CNM
Midwife
NPI 1649530437
Marisa Chavez , M.D.
Obstetrics & Gynecology
NPI 1932344207
Anjum Cheema , M.D.
Ophthalmology
NPI 1205064441
Michael Chita , DO
Radiology
NPI 1588731012
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 #PHCL000019 taxonomy 3336M0003X
Identifiers
Type Value Notes
01
2122375
PK
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
KAISER PERMANENTE SOUTHWOOD INFUSION PHARMACY
Type code 3
recorded 2021-08-04
KAISER PERMANENTE SOUTHWOOD INFUSION PHARMACY
Type code 3
recorded 2013-08-22
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.