KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
NPI 1104089739
Clinical Medical Laboratory in Tucker, GA

NPI Status: Active since July 03, 2008

Contact Information

200 CRESCENT CENTER PKWY
TUCKER, GA
ZIP 30084
Phone: (770) 496-3515

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  • Clinical Medical Laboratory

About KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.

This page provides the complete NPI Profile along with additional information for Kaiser Foundation Health Plan Of Georgia Inc., a provider established in Tucker, Georgia operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1104089739 assigned on July 2008. The practitioner's primary taxonomy code is 291U00000X with license number 11D0259510 (GA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Katherine Farmer (Director Of Laboratory Services)

NPI
1104089739
Provider Name
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Entity Type
Organization
Location Address
200 CRESCENT CENTER PKWY TUCKER, GA 30084
Location Phone
(770) 496-3515
Mailing Address
3495 PIEDMONT RD NE ATLANTA, GA 30305
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2008
Last Update Date
07-15-2021
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Establishments like Kaiser Foundation Health Plan Of Georgia Inc. are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
11D0259510
License State
GA
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHERINE FARMER

Authorized Official Title
DIRECTOR OF LABORATORY SERVICES
Authorized Official Phone
(404) 309-9314

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104089739
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104081876
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 0 + 8 + 1 + 8 + 7 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1104089739 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720016405DR. JENNIFER GALL KAPELLA MD
Individual
Internal Medicine200 CRESCENT CENTER PKWY KAISER PERMANENTE CRESCENT MEDICAL CENTER
TUCKER, GA 30084
(404) 364-7000
1306946140 TARRAH B. WILLIAMS PHARM.D.
Individual
Pharmacist (Pharmacotherapy)200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3468
1174647994DR. BEVERLY DOTSON PHARMD
Individual
Pharmacist200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3557
1134340466MRS. JAN T. SMITH RPH
Individual
Pharmacist200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3523
1417235789DR. NAFESA E WALTERS-SMITH PHARM.D, BCPS
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3566
1679851943 ANDREA ELAINE SCHRUERS RPH
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3653
1366721540 URVI VORA PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3734
1871872929 ERIN R HIMES PHARM.D.
Individual
Pharmacist200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3657
1245510437DR. MYRA W. JONES PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3565
1871976274MRS. SARAH W KILPATRICK RDN, LD, CDE, CCP
Individual
Dietitian, Registered200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3646
1912351057DR. SHANTE POOL PHARMD
Individual
Pharmacist200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3712
1306371455MRS. DANICE B. MARINEY RN IBCLC
Individual
Registered Nurse (Lactation Consultant)200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3676
1164958153 JE'NINE LINDIE RN
Individual
Registered Nurse (Maternal Newborn)200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(404) 823-5673
1578678462KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Organization
Pharmacy (Managed Care Organization Pharmacy)200 CRESCENT CENTER PKWY
TUCKER, GA 30084
(770) 496-3523
1053422261 JAMES W HAMILTON LPC
Individual
Psychologist (Cognitive & Behavioral)200 CRESCENT CENTER PKWY DEPARTMENT OF BEHAVIORAL HEALTH
TUCKER, GA 30084
(770) 496-3609
1083725295 STANLEY JOHN JAGIELSKI M.D.
Individual
Obstetrics & Gynecology200 CRESCENT CENTER PKWY KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER
TUCKER, GA 30084
(770) 496-3525
1154432367 CHARLES E CURRY JR. MD
Individual
Family Medicine200 CRESCENT CENTER PKWY INTERNAL MEDICINE HEALTH CARE TEAM A
TUCKER, GA 30084
(770) 496-3625
1164530184 KEITH R BRUNO MD
Individual
Dermatology200 CRESCENT CENTER PKWY DEPARTMENT OF DERMATOLOGY
TUCKER, GA 30084
(770) 496-3605
1215045232 JOSHUA I BARZILAY MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)200 CRESCENT CENTER PKWY DEPARTMENT OF DIABETES CARE
TUCKER, GA 30084
(404) 364-4757
1215047212DR. HERBERT ALFRED SINGLETON M.D.
Individual
Pediatrics200 CRESCENT CENTER PKWY KP CRESCENT CENTER MEDICAL OFFICE
TUCKER, GA 30084
(770) 496-3700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104089739, enumerated in the NPI registry as an "organization" on July 03, 2008

The provider is located at 200 Crescent Center Pkwy Tucker, Ga 30084 and the phone number is (770) 496-3515

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

This NPI record was last updated on July 03, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.