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Kellie Marie Organ , PHYSICIAN ASSISTANT

Physician Assistant • Jacksonville, FL

Active NPI 1679096424 Individual Practitioner Female Practitioner
Practice location in NPPES

3635 St. Johns Ave
Jacksonville, FL 32205

Call 9046867525 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3635 St. Johns Ave

Jacksonville, FL 32205

Telephone 9046867525

Medicare patients

198 people with Original Medicare in 2019

Different Original Medicare patients in 2019; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2019.

Medicare-allowed amount

About $18,979 in 2019

The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.

Paid by Medicare

About $13,815 in 2019

The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.

30-day fills

12 standardized 30-day fills in 2021

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$12 in 2021

The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021.

Open Payments general payments, program year 2025

All general payments: $1,839.21 across 16 records.

By nature of payment

  • Travel and Lodging: $1,228.88 across 3 records.
  • Food and Beverage: $610.33 across 13 records.

Reporting-company totals

  • Galderma Laboratories, L.P.: $1,610.41 across 8 records.
  • ABBVIE INC.: $228.80 across 8 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Kellie Organ are from 2019.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Kellie Organ are from 2021.

890 active clinicians are listed under Physician Assistant with a practice address in Jacksonville, FL (10,541 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

19.8% of these 890 clinicians have the CMS telehealth indicator.

57.3% of these 890 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2021), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 16 records totaling $1,839.21.

Manufacturer Payment Nature Product Type Amount ($)
Galderma Laboratories, L.P.
Travel and Lodging
In-kind items and services
— General $712.36
Galderma Laboratories, L.P.
Travel and Lodging
In-kind items and services
— General $307.78
Galderma Laboratories, L.P.
Travel and Lodging
In-kind items and services
— General $208.74
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
— General $167.08
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
— General $81.18
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
— General $61.59
ABBVIE INC.
Food and Beverage
In-kind items and services
— General $39.28
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
— General $36.69
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
— General $34.99
ABBVIE INC.
Food and Beverage
In-kind items and services
— General $31.71
ABBVIE INC.
Food and Beverage
In-kind items and services
— General $31.25
ABBVIE INC.
Food and Beverage
In-kind items and services
— General $30.00
ABBVIE INC.
Food and Beverage
In-kind items and services
— General $28.58
ABBVIE INC.
Food and Beverage
In-kind items and services
— General $27.13
ABBVIE INC.
Food and Beverage
In-kind items and services
NATRELLE SALINE-FILLED BREAST IMPLANTS General $22.67
ABBVIE INC.
Food and Beverage
In-kind items and services
— General $18.18

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2019.

CMS Part B · Data Year 2019
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2018–2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
115 87 $122.00 $62.15
72100 X-ray of lower and sacral spine, 2-3 views
102 85 $80.00 $28.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
62 52 $70.00 $37.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
56 51 $172.00 $91.27
72070 X-ray of middle spine, 2 views
18 14 $78.00 $26.88
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
17 12 $121.71 $36.64
72040 X-ray of upper spine, 2-3 views
14 13 $74.00 $29.06

Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D · Data Year 2021
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Gabapentin Gabapentin 12 12 $12.15 12

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-11-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9110764

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
📍
Updated Practice Location November 30, 2021

Registered at 3635 ST. JOHNS AVE, JACKSONVILLE, FL 32205 (Tel: 9046867525)

📍
Updated Business Mailing Address November 30, 2021

Registered at 3635 ST. JOHNS AVE, JACKSONVILLE, FL 32205 (Tel: 9046867525)

👤
Provider Name / Credentials Updated November 30, 2021

Recorded as KELLIE ORGAN, PHYSICIAN ASSISTANT

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NPI Profile Active November 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2017

Registered at 1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 322078566 (Tel: 9043463465)

📍
Updated Business Mailing Address November 16, 2017

Registered at 1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 322078566 (Tel: 9043463465)

👤
Provider Name / Credentials Updated November 16, 2017

Recorded as KELLIE HOLLOWAY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Physician Assistant (license number reported to NPPES: FL PA9110764)

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NPI Profile Active July 24, 2017

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 24, 2017

Registered at 4435 TOUCHTON RD E APT 1038, JACKSONVILLE, FL 322464467 (Tel: 9413560693)

📍
Business Mailing Address (Initial Record) July 24, 2017

Registered at 4435 TOUCHTON RD E APT 1038, JACKSONVILLE, FL 322464467 (Tel: 9413560693)

👤
Provider Name / Credentials (Initial Record) July 24, 2017

Recorded as KELLIE HOLLOWAY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 24, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679096424
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2017
Last Update: November 30, 2021
Sole Proprietor: Yes

Other Physician Assistants in Jacksonville

All Physician Assistants in Jacksonville

Mailing Address

3635 St. Johns Ave

Jacksonville, FL 32205

Phone: 9046867525

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.