Layne Harvey Kitchens, N.P.
Individual provider Active NPI Adult Health Nurse Practitioner · Sandersville, GA
NPI 1790740819 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1790740819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- APRN-NP076916 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
501 Sparta Rd
Suite F
Sandersville, GA 31082-1392
Phone (478) 552-0001
Hospital & facility affiliations
- Washington County Regional Medical Center
- Fairview Park Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051017000897 | GA | Practitioner - Nurse Practitioner | 1759307028 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP076916 | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Internal Medicine, P.C. | Current |
Accepting new patients | |
| Washington County Internal Medicine, P.C. | Past |
Accepting new patients |
Locations
501 Sparta Rd
Ste F
Sandersville, GA 31082
Phone (478) 552-0001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN-NP076916 | GA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344648047A | Medicaid | GA |
Other providers in Sandersville, GA
- Darlene Machele Johnson
- Heather Johnson
- Julius Jones
- Lauren Wells Kent
- Kyla Megan Kitchens
- Wentzelle Kim Kitchens
- Jasmine Knight
- KVL Transport LLC
- Colieus Darel Lawson
- Sandy Drew Carter Lewis
All providers in Sandersville, GA · Adult Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.