Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679096424 Individual Practitioner Female Practitioner

Kellie Marie Organ , PHYSICIAN ASSISTANT

Physician Assistant • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Kellie Organ, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Jacksonville, FL. Practice services are available at 3635 ST. JOHNS AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views, x-ray of middle spine, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3635 St. Johns Ave

Jacksonville, FL 32205

Telephone 9046867525

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
115 87 $122.00 $62.15
72100 X-ray of lower and sacral spine, 2-3 views
102 85 $80.00 $28.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
62 52 $70.00 $37.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
56 51 $172.00 $91.27
72070 X-ray of middle spine, 2 views
18 14 $78.00 $26.88
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
17 12 $121.71 $36.64
72040 X-ray of upper spine, 2-3 views
14 13 $74.00 $29.06

Medical Specialties & State Licenses

CMS Verified: 2021-11-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9110764

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Nancy Arcuri , ARNP

Nurse Practitioner

NPI 1205568060

Advanced Registered Nurse Practitioner

Kathryn Wilson , APRN

Nurse Practitioner - Family

NPI 1558064535

Advanced Practice Registered Nurse

Leah Johnson , ARNP

Nurse Practitioner - Family

NPI 1578200275

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location November 30, 2021

Registered at 3635 ST. JOHNS AVE, JACKSONVILLE, FL 32205 (Tel: 9046867525)

📍
Updated Business Mailing Address November 30, 2021

Registered at 3635 ST. JOHNS AVE, JACKSONVILLE, FL 32205 (Tel: 9046867525)

👤
Provider Name / Credentials Updated November 30, 2021

Recorded as KELLIE ORGAN, PHYSICIAN ASSISTANT

NPI Profile Active November 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2017

Registered at 1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 322078566 (Tel: 9043463465)

📍
Updated Business Mailing Address November 16, 2017

Registered at 1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 322078566 (Tel: 9043463465)

👤
Provider Name / Credentials Updated November 16, 2017

Recorded as KELLIE HOLLOWAY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Physician Assistant (License #PA9110764 in FL)

NPI Profile Active July 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2017

Registered at 4435 TOUCHTON RD E APT 1038, JACKSONVILLE, FL 322464467 (Tel: 9413560693)

📍
Updated Business Mailing Address July 24, 2017

Registered at 4435 TOUCHTON RD E APT 1038, JACKSONVILLE, FL 322464467 (Tel: 9413560693)

👤
Provider Name / Credentials Updated July 24, 2017

Recorded as KELLIE HOLLOWAY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 24, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kellie Organ. Be the first to share your experience!

Sign in to leave a review for Kellie Organ

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1679096424
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2017
Last Update: November 30, 2021
Sole Proprietor: Yes

Mailing Address

3635 St. Johns Ave

Jacksonville, FL 32205

Phone: 9046867525

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.