Individual provider Active NPI

Martha B. Kitchings, FNP

  • Family Nurse Practitioner
  • Hinesville, GA
National Provider Identifier
1235273368
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN022690 Issued in GA
Practice address
455 S Main St Ste 104
Hinesville, GA 31313-4354
Phone
(912) 876-5644
Fax
(912) 408-3457
NPI assigned
Feb 20, 2007
Last updated
May 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN022690 GA Primary

Addresses

Primary practice location

455 S Main St Ste 104
Hinesville, GA 31313-4354

Mailing address

PO Box 919
Hinesville, GA 31310-0919
Phone (912) 876-5644

Other practice location 1

586 Islands Hwy
Midway, GA 31320
Phone (912) 396-7050

Other practice location 2

73 Coastal Manor Dr SE
Ludowici, GA 31316-2949
Phone (912) 369-9313

Other identifiers 2

IdentifierTypeStateIssuer
000764629BMedicaidGA
000764629CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diversity Health Center Inc Past Accepting new patients
Allied Health Systems Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1235273368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313100919",
            "telephone_number": "912-876-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST STE 104",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134354",
            "telephone_number": "912-876-5644",
            "fax_number": "912-408-3457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "586 Islands Hwy",
            "address_purpose": "LOCATION",
            "city": "Midway",
            "state": "GA",
            "postal_code": "31320",
            "country_code": "US",
            "telephone_number": "912-396-7050",
            "fax_number": "912-884-4197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 Coastal Manor Dr SE",
            "address_purpose": "LOCATION",
            "city": "Ludowici",
            "state": "GA",
            "postal_code": "313162949",
            "country_code": "US",
            "telephone_number": "912-369-9313",
            "fax_number": "912-545-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHINGS",
        "first_name": "MARTHA",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN022690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000764629B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000764629C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.