Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Wayne Wharton II

Individual provider Physician Assistant · NPI 1154069292

Jerry Wayne Wharton II is a Physician Assistant in Daytona Beach, Florida. Qualified in 2022, 4 years ago. Practices with Emergency Services of Zephyrhills PA, a 50-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022

Practice location Address checks out

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone: (276) 207-3108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117163 (FL)

Record details

NPI number1154069292
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 26, 2022
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing address3145 S Atlantic Ave Apt 1203, Daytona Beach, FL 32118-6274

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Emergency Services Of Zephyrhills Pa — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Daytona Beach