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

Individual provider Physician Assistant · NPI 1184237075

Kelly Ann Gardiner, PA-C is a Physician Assistant in Melbourne, Florida. Qualified in 2023, 3 years ago. Practices with Medical Associates of Brevard LLC, a 75-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2020
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

580 N Wickham Rd Ste C
Melbourne, FL 32935-8400
Phone: (321) 255-7118
Fax: (321) 255-8391
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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 PA9117668 (FL)
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1184237075
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 28, 2020
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Medical Associates Of Brevard Llc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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