BEVERLY D CONNOLLY (PA C) – Physician Assistant, NPI 1285607820

BEVERLY D CONNOLLY (PA C) is a healthcare provider. based in Leesburg, Florida. specializing in Physician Assistant. They hold the professional credentials PA C. They hold a License No. 9107812 (FL). The NPI Number for BEVERLY D CONNOLLY (PA C) is 1285607820

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
BEVERLY D CONNOLLY (PA C)
NPI
1285607820
Phone
(352) 350-5230
Address
26218 US HIGHWAY 27
Enumeration Date
13 February 2006
Last Update Date
26 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5612416676
Graduation Year
1999 (27 years ago)
PAC ID
6608913751
Group Practice PAC ID
5991736837
Professional Enrollment ID
I20140522000525
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for BEVERLY D CONNOLLY (PA C)

  • 26218, US 27, Leesburg, Lake County, Florida, 34797, United States

    LEESBURG, FL 347481707

    Phone: (352) 350-5230

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34748)

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Provider's Procedures

BEVERLY D CONNOLLY (PA C) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL17003Destruction of 2-14 skin growths2724504

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991736837View full group profile
NameSpecialtyState
-FL
-FL
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerMN
-FL
-FL
Physician AssistantFL
Physician AssistantNH

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Frequently asked questions

What federal number belongs to BEVERLY D CONNOLLY (PA C)?
The federal identifier for BEVERLY D CONNOLLY (PA C) is NPI 1285607820.
Is BEVERLY D CONNOLLY (PA C)'s NPI currently valid?
The extract we use shows BEVERLY D CONNOLLY (PA C) as active.
What field does BEVERLY D CONNOLLY (PA C) work in?
You can think of BEVERLY D CONNOLLY (PA C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is BEVERLY D CONNOLLY (PA C)'s primary listing?
We display Leesburg, Florida because that is what the record indicates for BEVERLY D CONNOLLY (PA C).
What if Leesburg, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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