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

Ryan Payne, PA

Individual provider Athletic Trainer · NPI 1235685512

Ryan Payne, PA is a Physician Assistant in Lakeland, Florida. Qualified in 2021, 5 years ago. Practices with Watson Clinic LLP, a 362-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1755 N Florida Ave
Lakeland, FL 33805-3109
Phone: (863) 904-6201
Fax: (866) 264-8519
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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 PA9115783 (FL)
Athletic Trainer Taxonomy 2255A2300X · Licence AL 3073 (FL)

Record details

NPI number1235685512
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 28, 2016
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Watson Clinic Llp — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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