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

Lainey Medine Petty, PA-C

Individual provider Physician Assistant · NPI 1053577213

Lainey Medine Petty, PA-C is a Physician Assistant in Eglin AFB, Florida. Licensed in Florida and Louisiana. Registered with an NPI since 2008.

Licensed in
FL, LA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone: (850) 883-8600
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9107181 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA.2002.39RX (LA)

Record details

NPI number1053577213
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 6, 2008
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020

Other providers in Eglin AFB