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

John Edward Kelly, PA

Individual provider Physician Assistant · NPI 1255876041

John Edward Kelly, PA is a Physician Assistant in Leesburg, Florida. Qualified in 2016, 10 years ago. Practices with Johnny Gurgen DO PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1340 Citizens Blvd
Leesburg, FL 34748-3924
Phone: (352) 435-7695
Fax: (352) 435-7453
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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 PA9109928 (FL)

Record details

NPI number1255876041
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 3, 2017
Last updated in NPPESJanuary 3, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Johnny Gurgen Do Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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