Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY MASSA
NPI 1386550820
Physician Assistant in Jacksonville, FL

Active since August 24, 2026
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256(904) 697-4100 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly Massa NPPES

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

KELLY MASSA (NPI 1386550820) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1386550820
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MASSA
Location Address10140 CENTURION PKWY NJacksonville, FL 32256-0532
Mailing Address724 Isaac Taylor DrWest Chester, PA 19382-7031
Sole ProprietorNo
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
NPI 1386550820 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.
10140 CENTURION PKWY N, Jacksonville, FL 32256

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
10140 CENTURION PKWY N, THE NEMOURS FOUNDATION
JACKSONVILLE, FL 32256
Dietitian, Registered
10140 CENTURION PKWY N
JACKSONVILLE, FL 32256
Psychologist (Clinical Child & Adolescent)
10140 CENTURION PKWY N
JACKSONVILLE, FL 32256
Nurse Practitioner (Neonatal)
10140 CENTURION PKWY N
JACKSONVILLE, FL 32256
Pediatrics
10140 CENTURION PKWY N
JACKSONVILLE, FL 32256

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 Kelly Massa's NPI number?

The NPI number for Kelly Massa is 1386550820. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Kelly Massa located?

Kelly Massa practices at 10140 Centurion Pkwy N, Jacksonville, FL 32256. The listed phone number is (904) 697-4100.

What is Kelly Massa'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 Kelly Massa was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.