Mr. Jimmy Allen Wyatt, PA-C
Mr. Jimmy Allen Wyatt, PA-C is a Physician Assistant in Daytona Beach, Florida. Qualified in 2005, 21 years ago. Practices with Ccsg, Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 21
- Licensed in
- FL
- In the registry since
- 2005
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
350 N Clyde Morris BlvdDaytona Beach, FL 32114-2733
Phone: (386) 238-3289
Fax: (386) 238-3296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA9103344 (FL) |
|---|
Record details
| NPI number | 1578550257 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 29, 2005 |
| Last updated in NPPES | April 19, 2017 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Ccsg, Inc — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Daytona Beach
-
Kimberly W Stackpole
311 N Clyde Morris Blvd Ste 320, Daytona Beach, FL 32114-2781 · (386) 255-5331
-
Laura Anne Stonaker, PAC
301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 · (386) 231-1500
-
Rachel Kreuzer Troian, PA
224 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5111 · (386) 231-4060
-
Gail Jean Wall, PA
431 S Keech Street Halifax Health Keech Ctr, Daytona Beach, FL 32114-4623 · (386) 947-3553