Active NPI
Kellie Christine Freeman, PA-C
- Physician Assistant
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110010705
- Practice address
- 300 Pinellas St
Clearwater, FL 33756-3804 - Phone
- (727) 298-6612
- Fax
- (727) 461-8085
- NPI assigned
- Sep 14, 2017
- Last updated
- Apr 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110010705 | VA | Primary |
| Emergency Medicine Physician | 207P00000X | 0110010705 | VA | |
| Family Medicine Physician | 207Q00000X | 0110010705 | VA | |
| Internal Medicine Physician | 207R00000X | 0110010705 | VA | |
| Pediatrics Physician | 208000000X | 0110010705 | VA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 0110010705 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 0110010705 | VA | |
| Surgery Physician | 208600000X | 0110010705 | VA |
Addresses
Primary practice location
300 Pinellas St
Clearwater, FL 33756-3804
Mailing address
2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496
Other practice location 1
18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Phone (276) 692-9020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18688 Jeb Stuart Hwy
Stuart, VA 24171
3643 S 89TH St
Milwaukee, WI 53228-1533
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110010705 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
Locations
2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496
4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650
2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848
Networks
- Optimum HealthCare HMO Network
Interoperability endpoints
- kellie.freemanpac@direct.mybaycare.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Clearwater, FL
- NPI 1164459095
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Emergency Medicine Physician
- New Port Richey, FL
- NPI 1568771707
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1114977428
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
- Critical Access Hospital
- Stuart, VA
- NPI 1477368603
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Stuart, VA
- NPI 1194511568
-
- Critical Access Hospital
- Stuart, VA
- NPI 1477368603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1962921577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-315-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PINELLAS ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563804",
"telephone_number": "727-298-6612",
"fax_number": "727-461-8085"
}
],
"practiceLocations": [
{
"address_1": "18688 Jeb Stuart Hwy",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "VA",
"postal_code": "241711559",
"country_code": "US",
"telephone_number": "276-692-9020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREEMAN",
"first_name": "KELLIE",
"middle_name": "CHRISTINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110010705",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0110010705",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0110010705",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0110010705",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0110010705",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0110010705",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0110010705",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0110010705",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.