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

Kelly G Coughlin, PA

Individual provider Physician Assistant · NPI 1679923601

Kelly G Coughlin, PA is a Physician Assistant in Gainesville, Florida. Qualified in 2016, 10 years ago. Practices with Doctors Radiology Group of Gainesville LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
Specialties on file
2
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

6716 NW 11th Pl Ste 200
Gainesville, FL 32605-4215
Phone: (352) 331-9729
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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 PA9109645 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9109645 (FL)

Record details

NPI number1679923601
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 21, 2016
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

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 Doctors Radiology Group Of Gainesville Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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