Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053577213 Individual Practitioner Female Practitioner

Lainey Medine Petty , PA-C

Physician Assistant • Eglin Afb, FL

Professional Overview & Biography Verified Profile Summary

Lainey Petty, PA-C is a registered healthcare professional specializing in Physician Assistant in Eglin Afb, FL. Practice services are available at 307 BOATNER RD STE 114 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Telephone 8508838600
Associated Practice Facility / Clinic
🏢 Individual Provider Facility NPI 1376890293

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eglin Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Eglin Afb, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9107181

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License LA PA.2002.39RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1357103 (LA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Lucas Petkewitz , DPT

Physical Therapist

NPI 1003228057

Doctor of Physical Therapy

Dr. Boden Port , DO

General Practice

NPI 1003519919

Doctor of Osteopathic Medicine (D.O.)

Dr. Eric Weiss , MD

General Practice

NPI 1013370444

Doctor of Medicine (M.D.)

Dr. Brock Jones , MD

Military Health Care Provider

NPI 1033046024

Doctor of Medicine (M.D.)

Stephen Biggs , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1033671227
Dr. Caleb Kiesow , MD

Family Medicine

NPI 1033704226

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 22, 2020

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

📍
Updated Business Mailing Address June 22, 2020

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2020

Physician Assistant (License #PA.2002.39RX in LA)

NPI Profile Active August 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2013

Registered at 1005 MAR WALT DRIVE, FORT WALTON BEACH, FL 325476796 (Tel: 8508638203)

📍
Updated Business Mailing Address August 06, 2013

Registered at 1005 MAR WALT DRIVE, FORT WALTON BEACH, FL 325476796 (Tel: 8508638203)

👤
Provider Name / Credentials Updated August 06, 2013

Recorded as LAINEY PETTY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

Physician Assistant (License #PA9107181 in FL)

🟢
Initial NPI Registration & Enumeration August 06, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053577213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2008
Last Update: June 22, 2020
Sole Proprietor: No

Mailing Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.