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

Mylissa Persons, PA-C

Individual provider Medical Physician Assistant · NPI 1992132328

Mylissa Persons, PA-C is a Physician Assistant in Port Charlotte, Florida. Qualified in 2013, 13 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4130 Tamiami Trl
Port Charlotte, FL 33952-9207
Phone: (941) 727-7100
Fax: (941) 787-7101
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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 PA9107484 (FL)

Record details

NPI number1992132328
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2013
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations16 on file with Medicare

Other providers in Port Charlotte