Individual provider

Abby Kelly

Physician Assistant

Abby Kelly is a Physician Assistant in Jacksonville Beach, FL, registered under NPI 1205612108.

Getting there

The practice address on file is 800 SHETTER AVE, Jacksonville Beach, FL 32250. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

800 SHETTER AVE, Jacksonville Beach, FL 32250 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Physician Assistant covers

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. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205612108 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 6, 2023
Last updatedMay 28, 2024
StatusActive
Sole proprietorNo
Practice address 800 SHETTER AVE
Jacksonville Beach, FL 32250
(904) 241-6767
Fax (904) 241-7340
Mailing address 12311 KENSINGTON LAKES DR UNIT 805
Jacksonville, FL 32246
This record was updated on May 28, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1205612108 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 6 1 2 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 3 1 4 1 0

Sum = 42 · next multiple of 10 = 50 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205612108?
NPI 1205612108 is the National Provider Identifier assigned to Abby Kelly in Jacksonville Beach, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
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…
How do I contact Abby Kelly?
The phone number on file with NPPES is (904) 241-6767, last updated May 28, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1205612108 a valid number?
Yes. 1205612108 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.