Individual provider Active NPI

Amy O Kitching, DC

  • Chiropractor
  • Statesboro, GA
National Provider Identifier
1316021272
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005242 Issued in GA
Practice address
2 Ed Moore CT
Statesboro, GA 30458-6027
Phone
(912) 243-9200
Fax
(912) 243-9207
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR005242 GA Primary

Addresses

Primary practice location

2 Ed Moore CT
Statesboro, GA 30458-6027

Mailing address

2 Ed Moore CT
Statesboro, GA 30458-5024
Phone (912) 243-9200

Other identifiers 1

IdentifierTypeStateIssuer
00883748AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111228000718 GA Practitioner - Chiropractic 1456527266 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR005242GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kitching Chiropractic Chiropractor Current Accepting new patients
Amy Kitching, PC Chiropractor CurrentSince Jan 2, 2014 Accepting new patients

Locations

2 Ed Moore Ct
Statesboro, GA 30458
Phone (912) 243-9200

116 Savannah Ave
Statesboro, GA 30458
Phone (912) 243-9200

110 Rushing Ln
Statesboro, GA 30458
Phone (912) 542-0444

502 Gentilly Rd
Statesboro, GA 30458
Phone (912) 681-2225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1316021272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ED MOORE CT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585024",
            "telephone_number": "912-243-9200",
            "fax_number": "912-243-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ED MOORE CT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586027",
            "telephone_number": "912-243-9200",
            "fax_number": "912-243-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHING",
        "first_name": "AMY",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00883748A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.