KELLY GENDALL MD
NPI 1942418579
General Practice in Neptune Beach, FL

Q: What is Kelly Gendall's NPI number?

The NPI number for Kelly Gendall is 1942418579. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Kelly Gendall's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Gendall was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment

410 ATLANTIC BLVD, NEPTUNE BEACH, FL 32266(610) 217-2625 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2024, Apr 9, 2024, Jan 18, 2022 and 2 more (5 updates tracked since 2021).

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About Kelly Gendall Md NPPES

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

KELLY GENDALL MD (NPI 1942418579) is an individual general practice provider in Neptune Beach, Florida, licensed in Florida (ME132441) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1942418579

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameKELLY GENDALLCredential: MD

Location Address410 ATLANTIC BLVDNeptune Beach, FL 32266-4022

Mailing Address255 12th StAtlantic Beach, FL 32233-5707

Phone(610) 217-2625

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 18, 2007

Last NPPES UpdateAugust 30, 20245 updates tracked since enumeration

NPPES CertifiedAugust 30, 2024

✔ NPI 1942418579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ME132441

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License ME132441 (FL)

410 ATLANTIC BLVD, Neptune Beach, FL 32266

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Gendall Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052469244

PECOS Enrollment IDI20210929002584

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kelly Gendall reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Solantic Of Jacksonville, LLC

15 mi

Urgent Care

151 PINE LAKE DRIVE, SUITE B
Ponte Vedra, FL 32081

Reassigned Medicare billing, Florida enrollment
189 clinicians in this Medicare group

NPI 1407893100 (904) 543-3677

Shands/Solantic Joint Venture, LLC

73 mi

Urgent Care

720 SW 2ND AVE., 160A
Gainesville, FL 32601

Reassigned Medicare billing, Florida enrollment
167 clinicians in this Medicare group

NPI 1558595223 (352) 240-8000

Carespot Of Orlando Hsi Urgent Care LLC

124 mi

Urgent Care

311 SOUTH AVALON PARK BLVD
Orlando, FL 32828

Reassigned Medicare billing, Florida enrollment
133 clinicians in this Medicare group

NPI 1306367503 (407) 295-7557

Hma/Solantic Joint Venture, LLC

194 mi

Urgent Care

1820 58TH AVE., UNIT 110
Vero Beach, FL 32966

Reassigned Medicare billing, Florida enrollment
160 clinicians in this Medicare group

NPI 1689812109 (772) 257-3200

West Boynton Urgent Care, LLC

272 mi

Urgent Care

8756 BOYNTON BEACH BLVD, SUITE 150
Boynton Beach, FL 33472

Reassigned Medicare billing, Florida enrollment
83 clinicians in this Medicare group

NPI 1003172628 (561) 740-2273

Solantic/South Florida, LLC

289 mi

Urgent Care

1205 N UNIVERSITY DR
Coral Springs, FL 33071

Reassigned Medicare billing, Florida enrollment
167 clinicians in this Medicare group

NPI 1851344378 (954) 780-8134

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

248 services228 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

124 services124 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

82 services79 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

68 services65 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

45 services43 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services24 patients

Other Providers at the Same Location NPPES 2

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

SOLANTIC URGENT CARE

Pharmacy

410 ATLANTIC BLVD
NEPTUNE BEACH, FL 32266

Duval County (904) 241-0117

JOHN ERIC HAAS M.D.

Family Medicine

410 ATLANTIC BLVD
NEPTUNE BEACH, FL 32266

Duval County (904) 241-0117

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 Gendall's NPI number?

The NPI number for Kelly Gendall is 1942418579. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Kelly Gendall located?

Kelly Gendall practices at 410 Atlantic Blvd, Neptune Beach, FL 32266. The listed phone number is (610) 217-2625.

What is Kelly Gendall's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kelly Gendall enrolled in Medicare?

Yes. Kelly Gendall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelly Gendall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Gendall reassigns Medicare benefits to 6 organizations: Solantic Of Jacksonville, LLC (Ponte Vedra, FL), Shands/Solantic Joint Venture, LLC (Gainesville, FL), Carespot Of Orlando Hsi Urgent Care LLC (Orlando, FL), Hma/Solantic Joint Venture, LLC (Vero Beach, FL), West Boynton Urgent Care, LLC (Boynton Beach, FL) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Gendall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Gendall was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.