Individual provider Active NPI

Layne Harvey Kitchens, N.P.

  • Adult Health Nurse Practitioner
  • Sandersville, GA
National Provider Identifier
1790740819
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN-NP076916 Issued in GA
Practice address
501 Sparta Rd
Suite F
Sandersville, GA 31082-1371
Phone
(478) 552-0001
Fax
(478) 552-0048
NPI assigned
Apr 20, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN-NP076916 GA Primary

Addresses

Primary practice location

501 Sparta Rd
Suite F
Sandersville, GA 31082-1371

Mailing address

501 Sparta Rd Ste F
Sandersville, GA 31082-1392
Phone (478) 552-0001

Other identifiers 1

IdentifierTypeStateIssuer
344648047AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000897 GA Practitioner - Nurse Practitioner 1759307028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington County Internal Medicine, P.C.Group PAC ID 5799671855, 3 clinicians

Practice addresses (Care Compare)

501 Sparta Rd
Suite F
Sandersville, GA 31082-1392
Phone (478) 552-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP076916GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Internal Medicine, P.C. CurrentSince Sep 14, 2005 Accepting new patients
Washington County Internal Medicine, P.C. PastSince Sep 14, 2005 Accepting new patients

Locations

501 Sparta Rd
Ste F
Sandersville, GA 31082
Phone (478) 552-0001

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1790740819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SPARTA RD STE F",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821392",
            "telephone_number": "478-552-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SPARTA RD",
            "address_2": "SUITE F",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821371",
            "telephone_number": "478-552-0001",
            "fax_number": "478-552-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "LAYNE",
        "middle_name": "HARVEY",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "APRN-NP076916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344648047A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.