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MRS. KELLIE MARIE ORGAN PHYSICIAN ASSISTANT
NPI 1679096424
Physician Assistant in Jacksonville, FL

Active since July 24, 2017
3635 ST. JOHNS AVE, JACKSONVILLE, FL 32205(904) 686-7525 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2021, Nov 16, 2017, Jul 24, 2017 (3 updates tracked since 2017).

About Mrs. Kellie Marie Organ Physician Assistant NPPES

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

MRS. KELLIE MARIE ORGAN PHYSICIAN ASSISTANT (NPI 1679096424) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9110764) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1679096424
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KELLIE MARIE ORGANCredential: PHYSICIAN ASSISTANT
Location Address3635 ST. JOHNS AVEJacksonville, FL 32205
Mailing Address3635 St. Johns AveJacksonville, FL 32205 · (904) 686-7525
Phone(904) 686-7525
Sole ProprietorYes
Enumeration DateJuly 24, 2017
Last NPPES UpdateNovember 30, 20213 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1679096424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9110764
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.
3635 ST. JOHNS AVE, Jacksonville, FL 32205
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Other Names 1

Former Name (1)Kellie Marie Holloway Physician Assistant

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 Kellie Organ's NPI number?

The NPI number for Kellie Organ is 1679096424. It was assigned to this individual provider in the NPPES registry on July 24, 2017. The provider is also known as Kellie Marie Holloway Physician Assistant.

Where is Kellie Organ located?

Kellie Organ practices at 3635 St. Johns Ave, Jacksonville, FL 32205. The listed phone number is (904) 686-7525.

What is Kellie Organ'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 Kellie Organ was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.