CHARLES KITCHENS JR.
NPI 1366858680
Nurse Practitioner in Atlanta, GA
About Charles Kitchens Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES KITCHENS JR. (NPI 1366858680) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (RN203522) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles Kitchens Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Charles Kitchens reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 55 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 40 clinicians in this Medicare group
Atlanta, GA 30363
- Reassigned Medicare billing, Georgia enrollment
Griffin, GA 30224
- Reassigned Medicare billing, Georgia enrollment
- 208 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30312
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charles Kitchens's NPI number?
The NPI number for Charles Kitchens is 1366858680. It was assigned to this individual provider in the NPPES registry on July 8, 2014.
Where is Charles Kitchens located?
Charles Kitchens practices at 285 Boulevard NE, Atlanta, GA 30312. The listed phone number is (404) 265-4400.
What is Charles Kitchens's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Charles Kitchens enrolled in Medicare?
Yes. Charles Kitchens is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Charles Kitchens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Kitchens reassigns Medicare benefits to 5 organizations: Emerginet Henry, LLC (Atlanta, GA), Emerginet Srmc, LLC (Atlanta, GA), Advanced Practice Telemedicine (Atlanta, GA), Georgia Emergency Group, LLC (Griffin, GA) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Kitchens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Kitchens accept?
Health plans from Oscar Health and Oscar Insurance Company list Charles Kitchens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Charles Kitchens was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Charles Kitchens Jr. · NPI 1366858680
Nurse Practitioner physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since July 8, 2014.
## Identity
- **NPI:** 1366858680 (Entity type: Individual)
- **Enumerated:** July 8, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN203522 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 285 BOULEVARD NE, Atlanta, GA 30312-4205
- **Phone:** (404) 265-4400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Emerginet Henry, LLC (NPI 1811946627, Atlanta, GA); Emerginet Srmc, LLC (NPI 1538118344, Atlanta, GA); Advanced Practice Telemedicine (NPI 1720678246, Atlanta, GA); Georgia Emergency Group, LLC (NPI 1952746638, Griffin, GA); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1366858680) · Data from the CMS NPPES public registry.