1. Home
  2. Directory
  3. Washington
  4. Tacoma
  5. Physician Assistant
  6. NPI Profile

GEORGIE KELLEY P.A.
NPI 1073664793
Physician Assistant - Medical in Tacoma, WA

Active since January 16, 2007
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 383-6120 Get Directions Write a Review

NPPES record last updated: September 14, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Georgie Kelley P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIE KELLEY P.A. (NPI 1073664793) is an individual medical provider in Tacoma, Washington, licensed in Washington (PA10003604) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1073664793
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameGEORGIE KELLEYCredential: P.A.
Location Address209 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4265
Mailing Address1400 Pottery Ave, Port Orchard Medical CenterPort Orchard, WA 98366-3768 · (360) 895-5000 · Fax (360) 895-5034
Phone(253) 383-6120
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateSeptember 14, 2017
✔ NPI 1073664793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA10003604
209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405
Open in Google Maps ↗

Other Identifiers 8

Medicare PING8858783WA
Medicare PING8858780WA
Medicare PING8858784WA
Medicare UPINS46351WA
Medicare PING8872401WA
Medicare PING8858781WA
Medicare PING8858782WA
Medicaid8399370WA

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.

DR. KRISTINA SIU PETSAS M.D.
Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
ALEXANDRA CORNWALL PA-C
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
MRS. ANNE GARCES LAPORTE D.O.
Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
MR. CHRISTOPHER R WALSH PA-C
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
DR. JOEL THOMAS MCFARLAND MD
Radiology (Diagnostic Radiology)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
JONATHAN P KRYMAN MD
Pain Medicine (Pain Medicine)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
JOHN C. OSGOOD M.D.
Orthopaedic Surgery
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
DR. ANDREW KENNETH YU PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 383-7870

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 Georgie Kelley's NPI number?

The NPI number for Georgie Kelley is 1073664793. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Georgie Kelley located?

Georgie Kelley practices at 209 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 383-6120.

What is Georgie Kelley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Georgie Kelley was last updated on September 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.