NPI age
19 years
Enumerated 2007-02-15
● 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
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sanders
Phrm Compl Mang
Last NPPES update
2021-08-04
Source: monthly bulk 2026-05
How this organization compares
Across 37 active pharmacy providers in Georgia.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3640 Tramore Pointe Pkwy
Austell, GA 301066825
Mailing address
3640 Tramore Pointe Pkwy
Austell, GA 301066825
Authorized official
Diane Sanders, RPH
Phrm Compl Mang
📞 4049495242
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Evelyn Darius, M.D. Family Medicine NPI 1124219696
- Bonnie Ellenoff, DO Family Medicine NPI 1306907001
- Moise Jean, M.D. Internal Medicine NPI 1669762852
- Lorrie Lay Pharmacist NPI 1205788643
- Alana Miller-Clayton Psychologist NPI 1851663819
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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2016476 | PK |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
KAISER PERMANENTE
-
KAISER PERMANENTE
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 →
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