Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COLIN KENNETH KELLY MD
NPI 1972953339
Pathology - Anatomic Pathology & Clinical Pathology in Jacksonville, FL

Q: What is Colin Kelly's NPI number?

The NPI number for Colin Kelly is 1972953339. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Q: What is Colin Kelly's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Colin Kelly was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.

Active since June 16, 2016PECOS Enrolled

2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-9690 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Jul 10, 2024, Jul 9, 2018 and 1 more (4 updates tracked since 2016).

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About Colin Kenneth Kelly Md NPPES

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

COLIN KENNETH KELLY MD (NPI 1972953339) is an individual anatomic pathology & clinical pathology provider in Jacksonville, Florida, licensed in Virginia (0101264704) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972953339

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameCOLIN KENNETH KELLYCredential: MD

Location Address2080 CHILD STJacksonville, FL 32214-5005

Mailing Address2080 Child StJacksonville, FL 32214-5000

Phone(904) 542-9690

Sole ProprietorNo

Enumeration DateJune 16, 2016

Last NPPES UpdateJuly 20, 20264 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1972953339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in VA · 0101264704

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

2080 CHILD ST, Jacksonville, FL 32214

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colin Kenneth Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. STEVEN LEE UNDHEIM IDC

Military Health Care Provider (Independent Duty Corpsman)