Active NPI
Martha B. Kitchings, FNP
- Family Nurse Practitioner
- Hinesville, GA
National Provider Identifier
1235273368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN022690
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000764629B | Medicaid | GA | |
| 000764629C | Medicaid | GA |
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
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Hinesville, GA
- NPI 1861762007
-
- Federally Qualified Health Center (FQHC)
- Hinesville, GA
- NPI 1720108590
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.