Individual provider Active NPI

Kelly A. Eaton, AU.D.

  • Audiologist
  • Jacksonville, FL
National Provider Identifier
1144687658
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2257 Issued in FL
Practice address
10475 Centurion Pkwy N Ste 300
Jacksonville, FL 32256-5004
Phone
(904) 399-0350
Fax
(904) 399-5914
NPI assigned
Jan 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2257 FL Primary

Addresses

Primary practice location

10475 Centurion Pkwy N Ste 300
Jacksonville, FL 32256-5004

Mailing address

11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (516) 521-9462

Other names 1

  • Kelly A. Donlan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160414000117 NY Practitioner - Qualified Audiologist 7416255153 Reassigns benefits to 1 organization
I20190625000323 FL Practitioner - Qualified Audiologist 7416255153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

10475 Centurion Pkwy N
Suite 303
Jacksonville, FL 32256-5004
Phone (904) 399-0350

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Works Audiology PC Audiologist CurrentSince Feb 22, 2016 Accepting new patients
North Florida Surgeons, PA CurrentSince Mar 26, 2019 Accepting new patients
North Florida Surgeons, PA CurrentSince Mar 26, 2019 Accepting new patients

Locations

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

10475 San Jose Blvd Ste 230
Jacksonville, FL 32257

10475 Centurion Pkwy N
Ste 303
Jacksonville, FL 32256
Phone (904) 399-0350

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

1100 Franklin Ave
Ste 300
Garden City, NY 11530
Phone (516) 248-0068

57 Southern Blvd
Ste 4
Nesconset, NY 11767
Phone (631) 238-5785

Interoperability endpoints

  • Direct secure messaging: kelly.eaton.1@9109.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1144687658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231627",
            "telephone_number": "516-521-9462",
            "fax_number": "904-396-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 CENTURION PKWY N STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565004",
            "telephone_number": "904-399-0350",
            "fax_number": "904-399-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "KELLY",
        "middle_name": "A.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DONLAN",
            "middle_name": "A.",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.