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

Kaitlyn Nicole Kelly, PA

Individual provider Physician Assistant · NPI 1023811270

Kaitlyn Nicole Kelly, PA is a Physician Assistant in Springfield, Georgia. Qualified in 2025, 1 year ago. Registered with an NPI since 2025.

Years since qualifying
1
In the registry since
2025
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

1571 Highway 21 S
Springfield, GA 31329-5214
Phone: (912) 754-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1023811270
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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