Organization provider

KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Managed Care Organization Pharmacy

KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1295840189, based in Atlanta, GA. It is classified under Managed Care Organization Pharmacy.

Getting there

The practice address on file is 2525 CUMBERLAND PKWY SE, Atlanta, GA 30339. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2525 CUMBERLAND PKWY SE, Atlanta, GA 30339 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PHRE007009 GA Managed Care Organization Pharmacy primary

This provider holds licence PHRE007009 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Managed Care Organization Pharmacy covers

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. NUCC Health Care Provider Taxonomy, code 3336M0003X
Suppliers Pharmacy Managed Care Organization Pharmacy

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1295840189 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 20, 2006
Last updatedAug 4, 2021
StatusActive
Practice address 2525 CUMBERLAND PKWY SE
Atlanta, GA 30339
(770) 431-4136
Fax (770) 431-4194
Other identifiers 1140944 · NCPDP PROVIDER IDENTIFICATION NUMBER
The last update on file is Aug 4, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1295840189 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 9 5 8 4 0 1 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 9 5 7 4 0 1 7

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1295840189?
NPI 1295840189 is the National Provider Identifier assigned to KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. in Atlanta, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Managed Care Organization Pharmacy cover?
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.
How do I contact KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.?
The phone number on file with NPPES is (770) 431-4136, last updated Aug 4, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1295840189 a valid number?
Yes. 1295840189 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.