Individual provider Active NPI

Felisha Love Kitchen, M.D.

  • Obstetrics & Gynecology Physician
  • Macon, GA
National Provider Identifier
1114926201
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
051343 Issued in GA
Practice address
770 Pine St Ste 580
Macon, GA 31201-7532
Phone
(478) 633-1821
Fax
(478) 633-5180
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 051343 GA Primary

Addresses

Primary practice location

770 Pine St Ste 580
Macon, GA 31201-7532

Mailing address

770 Pine St Ste 580
Macon, GA 31201-7532
Phone (478) 633-1821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809000368 GA Practitioner - Obstetrics/Gynecology 3173595410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

770 Pine St
Suite 580
Macon, GA 31201-7532
Phone (478) 633-8700

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
051343GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Nov 9, 2009 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Macon Womens Health Clinic, LLC Obstetrics & Gynecology CurrentSince Mar 14, 2010 Accepting new patients
Health Services of Central Georgia, Inc Obstetrics & Gynecology CurrentSince Jul 1, 2019 Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Nov 9, 2009 Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients
Cardiopulmonary Associates, P.C. PastSince Jan 1, 1998 Accepting new patients
Navicent Health Baldwin, Inc Past Accepting new patients
Macon Women'S Health Clinic, LLC Past Accepting new patients
Cornerstone Women'S Health, P.C. Obstetrics & Gynecology PastSince Jul 3, 2017 Accepting new patients
Peach County Board of Health PastSince Jun 5, 2022 Accepting new patients
Georgia Department of Human Resources Past Accepting new patients

Locations

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

3000 Schatulga Rd
Columbus, GA 31907
Phone (706) 568-5202

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

770 Pine St
Ste 360
Macon, GA 31201
Phone (478) 633-1821

380 Hospital Dr
Ste 440
Macon, GA 31217
Phone (478) 742-5502

718 1st St
Macon, GA 31201
Phone (478) 742-5502

840 Pine St
Ste 900
Macon, GA 31201
Phone (478) 633-8060

770 Pine St
Ste 580
Macon, GA 31201
Phone (478) 633-1821

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Interoperability endpoints

  • Direct secure messaging: fkitchen434546@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: felisha.lovekitchen.p73@direct.tenet.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1114926201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PINE ST STE 580",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017532",
            "telephone_number": "478-633-1821",
            "fax_number": "478-633-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINE ST STE 580",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017532",
            "telephone_number": "478-633-1821",
            "fax_number": "478-633-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "FELISHA",
        "middle_name": "LOVE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "051343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.