Active NPI
William Clifford Kitchens, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Augusta, GA
National Provider Identifier
1609815729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 056731
- Practice address
- 1348 Walton Way Ste 5700
Augusta, GA 30901-5110 - Phone
- (706) 722-8242
- Fax
- (706) 722-8351
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 056731 | GA | Primary |
Addresses
Primary practice location
1348 Walton Way Ste 5700
Augusta, GA 30901-5110
Mailing address
PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51503505 | Other | AL | BLUE CROSS |
| 051503505 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Emory University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-4111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.13 of 100
- Quality
- 84.96
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 81.77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 11 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21927 | FL | MD | Pharmacist |
| 056731 | GA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-10, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Fayette Medical Center | Past | Accepting new patients |
Locations
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
Interoperability endpoints
- wkitchens81080@firsthealth.direct-ci.net
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.
-
dba Firsthealth Cardiovascular & Thoracic Services
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pinehurst, NC
- NPI 1457600504
-
- General Acute Care Hospital
- Fayette, AL
- NPI 1851323836
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1609815729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1705",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309031705",
"telephone_number": "706-774-7263",
"fax_number": "706-774-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 WALTON WAY STE 5700",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309015110",
"telephone_number": "706-722-8242",
"fax_number": "706-722-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHENS",
"first_name": "WILLIAM",
"middle_name": "CLIFFORD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "GA",
"license": "056731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51503505",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051503505",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.