Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connor Lewellen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679279012

Connor Lewellen is a Physician Assistant in Orlando, Florida. Qualified in 2023, 3 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

7243 Della Dr Fl 3
Orlando, FL 32819-5104
Phone: (321) 843-5851
Fax: (321) 842-0089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1236 Tidewater Ct, Bradenton, FL 34208-5724 — (941) 224-5313

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9117576 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679279012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 7, 2023
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024
Mailing address7243 Della Dr, Orlando, FL 32819-5104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Orlando