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

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: August 16, 2026.

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

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 3

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

Nurse Practitioner
410 ATLANTIC BLVD
NEPTUNE BEACH, FL 32266
Pharmacy
410 ATLANTIC BLVD
NEPTUNE BEACH, FL 32266
Family Medicine
410 ATLANTIC BLVD
NEPTUNE BEACH, FL 32266

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.

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 23 months 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.