IndividualActive
Kelly Porter, PA-C
NPI 1205598042 · Physician Assistant · Destin, FL
Kelly Porter, PA-C is a Physician Assistant provider in Destin, FL (NPI 1205598042).
Provider details
- NPI number
- 1205598042
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6 Teepee Ct
Destin, FL 32541-4408
Phone: (347) 454-4643
Street-level locationGet directions
Mailing address
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Registry dates
- Enumerated
- 2021-10-08
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Frequently asked questions
- What is Kelly Porter's NPI number?
- Kelly Porter's National Provider Identifier (NPI) is 1205598042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Porter's specialty?
- Kelly Porter is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Porter located?
- Kelly Porter's practice location on file with NPPES is 6 Teepee Ct, Destin, FL 32541-4408.
- What is Kelly Porter's phone number?
- The practice phone number listed in the NPPES registry for Kelly Porter is (347) 454-4643.
- Is Kelly Porter's NPI active?
- Yes — Kelly Porter's NPI (1205598042) is active in the NPPES registry as of the last update on 2026-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.