Justin Stewart Kitchens, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

221194 Issued in GA

Practice address

5405 Memorial Dr Ste D
Stone Mountain, GA 30083-3236

Phone

(404) 296-3800

Fax

(404) 297-8753

NPI assigned

Jan 24, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5606/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Mahaveer Vakharia MD PC

  • Psychiatry Physician
  • Powder Springs, GA
  • NPI 1871739680
  NPD (past)
• West Cobb Medical Associates, LLC

  • Internal Medicine Physician
  • Lithia Springs, GA
  • NPI 1740454099
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1073050449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 MEMORIAL DR STE D",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833236",
            "telephone_number": "404-296-3800",
            "fax_number": "404-297-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 MEMORIAL DR STE D",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833236",
            "telephone_number": "404-296-3800",
            "fax_number": "404-297-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "JUSTIN",
        "middle_name": "STEWART",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "221194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Lee Kim, DDS
• Ruth D Kinfe
• Winton King, MD
• Kiran M. Kamdar Dba Neighborhood Pediatric and Adult Dentistry
• Robert A Kirkland Jr., DDS
• Cody J Klein, PT, DPT, M.ED
• Corey Edward Klein, PT, DPT
• Julie Noelle Knisely, FNP-BC
• Britni Knott
• Knu Scope

• Family Nurse Practitioner in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.