Jill Wheeler Kitchens, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

060516 Issued in GA

Practice address

5135 Wrightsboro Rd Ste B
Grovetown, GA 30813-2803

Phone

(706) 854-2500

Fax

(706) 854-2500

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jill Amanda Wheeler Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jill.kitchens.1@14928.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14928/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.

• Pediatric Partners of Augusta, LLC

  • Pediatrics Physician
  • Evans, GA
  • NPI 1417064924
  NPD
• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  NPD (past)
• Melissa Jadick

  • Pediatrics Physician
  • Augusta, GA
  • NPI 1013927946
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1528181963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487",
            "telephone_number": "706-854-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 WRIGHTSBORO RD STE B",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132803",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Town Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093487",
            "country_code": "US",
            "telephone_number": "706-854-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 MERIDIAN DR",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308130260",
            "country_code": "US",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "JILL",
        "middle_name": "WHEELER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "060516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125666326E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125666326F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125666326D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "WHEELER",
            "middle_name": "AMANDA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Kelly, NP-C
• Kiana Laniece Kelly
• William Oillie Key III, D.M.D
• Kids Elite Youth Organization
• Tatyana Alexzandria Rhanay Kitchen, LMSW
• Bo Kleman
• Natalya Kusayeva
• Hannah Funmilayo Lawal Adeniji
• Zachary Todd Lawrence, MS/OTR
• Russell Darren Lendermon, M.D.

• Pediatrics Physician in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.