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

Individual provider Physician Assistant · NPI 1932838307

Evan Kelly Courtney, PA-C is a Physician Assistant in Pensacola, Florida. Qualified in 2022, 4 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Specialties on file
2
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

1619 Creighton Rd Ste 1
Pensacola, FL 32504-7152
Phone: (850) 444-4700
Fax: (850) 444-7497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116453 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1932838307
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 9, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pensacola