Organization
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Active
Other names
Kaiser Permanente Holly Springs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE SANDERS (PHARMACY COMPLIANCE MANAGER)
(770) 712-5654
Entity
Organization
Contact information
Practice address
684 SIXES RD STE 275, HOLLY SPRINGS, GA 30115-8721
(770) 852-2440
(770) 852-2441
Mailing address
684 SIXES RD STE 275, HOLLY SPRINGS, GA 30115-8721
(770) 852-2440
(770) 852-2441
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
PHRE009659
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159715
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/20/2010
Last updated
08/04/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us