NPI age
15 years
Enumerated 2010-06-14
● Active Type 2 · Organization
Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Foundation Health Plan Of Georgia, Inc. is 1 of 37 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 1 secondary
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
1
In the 45% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-06Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
2240 Fountain Dr
Snellville, GA 300782919
Mailing address
2240 Fountain Dr
Snellville, GA 300782919
Authorized official
Diane Sanders
Pharmacy Compliance Manager
📞 4049495336
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Lakesha Davison, MD Pediatrics NPI 1154565950
- Shataundia Foreman, NP-C Nurse Practitioner NPI 1518208230
- Hope Galloway, MD Family Medicine NPI 1871703538
- Sandra Jackson Dent, M.D. Internal Medicine NPI 1063640563
- Deanne Lambert, RPH Pharmacist NPI 1568318277
Specialties
-
Pharmacy PrimaryA 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.
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1159931 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kaiser Permanente Snellville
-
Kaiser Permanente Snellville
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- 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.