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

Mrs. Kelly Ann Gully, PA-C

Individual provider Physician Assistant · NPI 1063659878

Mrs. Kelly Ann Gully, PA-C is a Physician Assistant in College Station, Texas. Qualified in 2008, 18 years ago. Practices with Brazos Valley Physicians Alliance, a 22-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2009
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

800 Scott And White Dr
College Station, TX 77845-6440
Phone: (979) 207-4000
Fax: (979) 207-4562
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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 PA06059 (TX)

Record details

NPI number1063659878
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2009
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Brazos Valley Physicians Alliance — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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