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NPI 1508123811
● Active Type 2 · Organization
Kaiser Foundation Health Plan Of Georgia Inc
Pharmacy · Duluth, GA · NPI 1508123811
·
Enumerated 2012 · 14 years on NPI
Kaiser Foundation Health Plan Of Georgia Inc is 1 of 40 pharmacy organizations in Georgia.
NPI age
14 years
Enumerated 2012-04-12
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 40 active pharmacy providers in Georgia.
NPI age
14 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2012 → 2026
2012-04 Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
3650 Steve Reynolds Blvd
Duluth, GA 300964506
📞 7709316188 fax 7709316375
Mailing address
3650 Steve Reynolds Blvd
Duluth, GA 300964506
📞 7709316188 fax 7709316375
Authorized official
Diane Sanders
Pharmacy Compliance Manager
📞 7707125654
Individual providers at this organization
20 individual providers on file at this primary practice address.
Andrew Adam , MD
Pediatrics
NPI 1184733289
Carlie Adams , RD, LD, IBCLC
Dietitian, Registered
NPI 1306394655
Ifeyinwa Adimorah , MD
Internal Medicine
NPI 1437289907
Chaitanya Allamneni , MD
Internal Medicine
NPI 1598119612
Vivian Alvarez , CNM
Advanced Practice Midwife
NPI 1124120167
Erin Archer , AUD
Audiologist
NPI 1295442648
Michael Bakheet , M.D.
Family Medicine
NPI 1215155692
Cheryl Basden , DO
Family Medicine
NPI 1427175462
Kalashari Bell , PMHNP-BC
Nurse Practitioner
NPI 1568315497
Michelle Berkowitz , CNM
Midwife
NPI 1043396237
Carrie Boyd , APRN, WHNP-BC
Nurse Practitioner
NPI 1518552108
Harpreet Brar , M.D.
Obstetrics & Gynecology
NPI 1982969879
Aprina Broadnax-McCutcheon , LCSW
Social Worker
NPI 1588914253
Ty Bullington , NP
Nurse Practitioner
NPI 1407015951
Daniela Burciu
Registered Nurse
NPI 1417761933
Madison Burr , PA-C
Physician Assistant
NPI 1598316929
Julia Campbell , MD
Internal Medicine
NPI 1366544397
Regina Canty , NP
Clinical Nurse Specialist
NPI 1104242445
Erica Carlin , PHD
Psychologist
NPI 1801179015
Paula Carr , M.D
Family Medicine
NPI 1801869193
Specialties
Pharmacy
Primary
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
GA license #PHCL000015 taxonomy 3336C0002X
Identifiers
Type Value Notes
01
1162255
NCPDP PROVIDER IDENTIFICATION NUMBER
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Kaiser Permanente Gwinnett Clinic Pharmacy
Type code 3
recorded 2021-08-04
Kaiser Permanente Gwinnett Clinic Pharmacy
Type code 3
recorded 2012-04-12
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.