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KELLI D. WILLIAMS PA-C
NPI 1285170282
Physician Assistant in Jacksonville, FL

Active since January 13, 2017
10475 CENTURION PKWY N, SUITE 104, JACKSONVILLE, FL 32256(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2017, Jan 13, 2017 (2 updates tracked since 2017).

About Kelli D. Williams Pa-c NPPES

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

KELLI D. WILLIAMS PA-C (NPI 1285170282) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1285170282
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLI D. WILLIAMSCredential: PA-C
Location Address10475 CENTURION PKWY N, SUITE 104Jacksonville, FL 32256-5003
Mailing Address6500 Bowden Rd, Suite 103Jacksonville, FL 32216-8070 · (904) 634-0640 · Fax (904) 634-0203
Phone(904) 634-0640
Fax(904) 634-0203
Sole ProprietorNo
Enumeration DateJanuary 13, 2017
Last NPPES UpdateJune 27, 20172 updates tracked since enumeration
✔ NPI 1285170282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10475 CENTURION PKWY N, Jacksonville, FL 32256
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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.

AFTAN NOELLE DELANEY DPT
Physical Therapist
10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
ANANYA KUMAR
Technician, Other
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Duval County (904) 854-2050
DR. CONCEPCION LATOZA AGNILA M.D.
Pediatrics
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Duval County (904) 450-8090
THE SURGERY CENTER OF JACKSONVILLE, LLC
Clinic/Center (Ambulatory Surgical)
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Duval County (352) 567-6502
DR. BEVERLY DENISE MCMILLIN MD
Otolaryngology (Pediatric Otolaryngology)
10475 CENTURION PKWY N, SUITE 302
JACKSONVILLE, FL 32256
Duval County (904) 398-5437
CORY GRANT PETERS PA
Physician Assistant (Surgical)
10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
BRIAN D TARDIF PA
Physician Assistant (Surgical)
10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
BRUCE R MADDERN MD PA
Otolaryngology (Pediatric Otolaryngology)
10475 CENTURION PKWY N, SUITE 302
JACKSONVILLE, FL 32256
Duval County (904) 398-5437

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 Kelli Williams's NPI number?

The NPI number for Kelli Williams is 1285170282. It was assigned to this individual provider in the NPPES registry on January 13, 2017.

Where is Kelli Williams located?

Kelli Williams practices at 10475 Centurion Pkwy N Suite 104, Jacksonville, FL 32256. The listed phone number is (904) 634-0640.

What is Kelli Williams's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelli Williams was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.