KAISER PERMANENTE – Clinical Medical Laboratory, NPI 1205130374

KAISER PERMANENTE is a healthcare provider. based in Conyers, Georgia. specializing in Clinical Medical Laboratory. The organization holds a License No. 11D2016612 (GA). The NPI Number for KAISER PERMANENTE is 1205130374

Main info

Organization
Name
KAISER PERMANENTE
NPI
1205130374
Phone
(678) 413-4320
Address
1478 DOGWOOD DR SE
Authorized Official
KATHERINE FARMER DIRECTOR OF LABORATORY SERVICES
Enumeration Date
5 January 2011
Last Update Date
15 July 2021

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

Provider Addresses for KAISER PERMANENTE

  • 1478 DOGWOOD DR SE

    SUITE C

    CONYERS, GA 300135088

    Phone: (678) 413-4320

    Fax: (678) 413-4322

    Type: Mailing

  • 3495 PIEDMONT RD NE

    ATLANTA, GA 303051717

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30013)

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Reviews

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Frequently asked questions

Can I verify KAISER PERMANENTE with an NPI only?
You can start verification with NPI 1205130374 for KAISER PERMANENTE, then check state licensing separately.
Does CMS list KAISER PERMANENTE as active?
Yes — KAISER PERMANENTE is active in the NPI listing used on this page.
What is KAISER PERMANENTE's specialty?
The listing groups KAISER PERMANENTE with Clinical Medical Laboratory. Clinical services aligned with this taxonomy classification.
Does KAISER PERMANENTE list a practice location?
Patients near Conyers, Georgia may find KAISER PERMANENTE in results; validate coverage separately.
Why does KAISER PERMANENTE have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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