Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Devin Walter Kelly, PA-C

Individual provider Physician Assistant · NPI 1871117689

Devin Walter Kelly, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2020, 6 years ago. Practices with Lyerly Baptist Inc, a 70-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419
Phone: (904) 388-6518
Fax: (904) 393-7887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1747 Baptist Clay Dr Ste 200, Fleming Island, FL 32003-8505 — (904) 202-6683

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9113409 (FL)

Record details

NPI number1871117689
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2020
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lyerly Baptist Inc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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