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

Jerry Wayne Wharton II

Individual provider Physician Assistant · NPI 1154069292

Jerry Wayne Wharton II is a Physician Assistant in Daytona Beach, Florida. Qualified in 2022, 4 years ago. Practices with Emergency Services of Zephyrhills PA, a 50-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022

Practice location Address checks out

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone: (276) 207-3108
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117163 (FL)

Record details

NPI number1154069292
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 26, 2022
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Emergency Services Of Zephyrhills Pa — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Daytona Beach