Doctor profile · Federal record

Dr. Kellie Organ, Physician Assistant

Physician Assistant · Jacksonville, FL

  • NPI 1679096424
  • 9 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3635 St. Johns Ave
Jacksonville, FL 32205
(904) 686-7525

Credentials & registration

NPPES · NUCC
NPI registered
July 2017 — 9 yrs on file
Profile last updated
November 30, 2021
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Florida #PA9110764

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1679096424. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$27
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Abbvie INC. 1 $26.56

By nature of payment

Food and Beverage
$27

Frequently asked questions

Auto-generated from federal data
What is Dr. Kellie Organ's medical specialty?
Dr. Kellie Organ practices Physician Assistant in Jacksonville, FL.
Where does Dr. Kellie Organ practice?
Dr. Kellie Organ practices at 3635 St. Johns Ave, Jacksonville, FL 32205. Office phone: 9046867525.
What is Dr. Kellie Organ's NPI?
Dr. Kellie Organ's National Provider Identifier (NPI) is 1679096424, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated Jul 17, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›