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NPI 1932141710
● Active Type 2 · Organization
Kaiser Foundation Health Plan Of Georgia, Inc.
Pharmacy · Atlanta, GA · NPI 1932141710
·
Enumerated 2006 · 19 years on NPI
Kaiser Foundation Health Plan Of Georgia, Inc. is 1 of 37 pharmacy organizations in Georgia.
NPI age
19 years
Enumerated 2006-06-13
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sanders
Phcy Compliance Mgr
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
NPI lifetime · 2006 → 2026
2006-06 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1175 Cascade Pkwy Sw
Atlanta, GA 303113090
📞 4045054071 fax 4045054182
Mailing address
1175 Cascade Pkwy Sw
Atlanta, GA 303113090
📞 4045054071 fax 4045054182
Authorized official
Diane Sanders
Phcy Compliance Mgr
📞 7707125654
Individual providers at this organization
17 individual providers on file at this primary practice address.
Luke Beno , MD
Pediatrics
NPI 1194824003
Angela Deraad
Registered Nurse
NPI 1619409224
Charles Fowler , MD
Internal Medicine
NPI 1568566925
Breona Harlan
Midwife
NPI 1942845250
Delphanie Head , M.D.
Family Medicine
NPI 1699713230
Carrie Johnson , PHARMD, BCPS, BCACP
Pharmacist
NPI 1962699850
Krista McEwan , MD
Family Medicine
NPI 1598339665
Emueje Ophori , M.D.
Family Medicine
NPI 1497049605
Robyn Petagrew , DO
Internal Medicine
NPI 1144303280
James Ragins , M.D.
Internal Medicine
NPI 1376836577
Stephanie Roberts , PHARMD
Pharmacist
NPI 1649559683
Daryl Singleton , MD
Family Medicine
NPI 1881154144
Algernon Steele , MD
Obstetrics & Gynecology
NPI 1447354808
Modesta Tako , MD
Family Medicine
NPI 1063410827
Jennifer Thomas , M.D.
Pediatrics
NPI 1588008619
Bawayna Thompson
Pharmacist
NPI 1124970934
Jo Underwood , FNP-C
Nurse Practitioner
NPI 1093289126
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 #PHRE007149 taxonomy 3336M0003X
Identifiers
Type Value Notes
01
1138305
NCPDP PROVIDER IDENTIFICATION NUMBER
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
KAISER PERMANENTE CASCADE
Type code 3
recorded 2021-08-04
KAISER PERMANENTE CASCADE
Type code 3
recorded 2007-07-19
Practice context
Multi-provider organization.
17 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.