P Praxis·MD
● Active Type 1 · Individual

MR. Justin Stewart Kitchens, NP-C

Nurse Practitioner·Stone Mountain, GA· NPI 1073050449 · Enumerated 2017 · 9 years on NPI
Kitchens is 1 of 42 nurse practitioner providers in Stone Mountain and 1 of 8826 in Georgia.
NPI age
9 years
Enumerated 2017-01-24
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-01Enumerated in NPPES
2017 2026

Where they practice

Practice location
5405 Memorial Dr Ste D
Stone Mountain, GA 300833236
📞 4042963800fax 4042978753
Mailing address
5405 Memorial Dr Ste D
Stone Mountain, GA 300833236
📞 4042963800fax 4042978753

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #221194 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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