Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy
101 Banks Sta, Fayetteville
Georgia, 30214-7507
678-610-3701 678-610-3703
Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy in Fayetteville, Georgia. It is located at 101 Banks Sta, Fayetteville and it's customer support contact number is 678-610-3701. The authorized person of Kaiser Foundation Health Plan Of Georgia, Inc. is Ms. Diane Sanders who is Pharmacy Compliance Manager of the pharmacy and her contact number is 770-712-5654. Active license number of Kaiser Foundation Health Plan Of Georgia, Inc. is PHRE009731 for Managed Care Organization Pharmacy in Georgia.
Kaiser Foundation Health Plan Of Georgia, Inc. is 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.
Pharmacy Details:
Kaiser Foundation Health Plan Of Georgia, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kaiser Foundation Health Plan Of Georgia, Inc. |
| Type: | Managed Care Organization Pharmacy |
| Location: | 101 Banks Sta, Fayetteville,
Georgia, 30214-7507 |
| Phone: | 678-610-3701 |
| Fax: | 678-610-3703 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Diane Sanders |
| Position: | Pharmacy Compliance Manager |
| Contact Number: | 770-712-5654 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1831495803 |
| NPI Enumeration Date: | 08 Feb, 2011 |
| NPI Last Update On: | 04 Aug, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kaiser Foundation Health Plan Of Georgia, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Managed Care Organization Pharmacy | PHRE009731 | Georgia | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2127407 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 101 Banks Sta,
Fayetteville, Georgia |
| Zip: | 30214-7507 |
| Phone Number: | 678-610-3701 |
| Fax Number: | 678-610-3703 |
Patients can reach Kaiser Foundation Health Plan Of Georgia, Inc. at
101 Banks Sta, Fayetteville, Georgia or can
call on customer care at 678-610-3701.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.