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

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.

Hospital & facility affiliations 3

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

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. (3 clinicians)

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 Hospital · Sandersville, GA · CCN 110086
  • Fairview Park Hospital Hospital · Dublin, GA · CCN 110125

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP076916GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Internal Medicine, P.C. Current
since Sep 14, 2005
Accepting new patients
Washington County Internal Medicine, P.C. Past
since Sep 14, 2005
Accepting new patients

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
344648047AMedicaidGA

Other providers in Sandersville, GA

All providers in Sandersville, GA · Adult Health Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.