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

Payton Eberling

Individual provider Physician Assistant · NPI 1548021298

Payton Eberling is a Physician Assistant in Port Charlotte, Florida. Qualified in 2024, 2 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

2450 Tamiami Trl Ste A
Port Charlotte, FL 33952-3922
Phone: (941) 624-2704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120702 (FL)

Record details

NPI number1548021298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 19, 2024
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address2675 Winkler Ave Ste 200, Fort Myers, FL 33901-9328

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Port Charlotte