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

Individual provider Physician Assistant · NPI 1659384766

Kathryn Tyrrell Degoursey, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 1987, 39 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
39
Licensed in
FL
In the registry since
2006
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

3550 University Blvd S Ste 302
Jacksonville, FL 32216
Phone: (904) 733-4444
Fax: (904) 733-5377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10058 Baymeadows Rd, Jacksonville, FL 32256-7177 — (904) 636-5400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1974 (FL)

Record details

NPI number1659384766
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESFebruary 26, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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