Jimmy Allen Wyatt, PA-C
NPI 1578550257ActiveIndividual· Physician Assistant, Medical· Daytona Beach, FL
Physician Assistant, Medical (PA-C) with Ccsg, Inc, practicing in Daytona Beach, Florida. Their prescriptions cost Medicare Part D more than their services did: $54,080 for 228 claims, against $22,141 paid for services in 2024. E.R. Squibb & Sons, L.L.C. was the largest of 4 companies reporting payments in 2025, $197.48 in all, mostly food and beverage. Lists Archbold Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1578550257 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 29, 2005 |
| Last updated in NPPES | Apr 19, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA9103344 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 125 |
|---|---|
| Services billed | 257 across 13 procedure codes |
| Paid by Medicare | $22,141 |
Part D prescriptions in 2024
| Prescriptions (claims) | 228 · 391 30-day fills |
|---|---|
| Patients | 76 |
| Total drug cost | $54,080 |
| Generic share | 72% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ccsg, IncThomasville, GA · 26 clinicians
Hospital affiliations
- Archbold Memorial HospitalThomasville, GA
- Grady General HospitalCairo, GA
Industry payments (Open Payments)
- 2025$197.48 · 6 payments from 4 companies
- 2024$507.60 · 19 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $123.03 | 1 |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $44.69 | 3 |
| Novo Nordisk Inc | $14.88 | 1 |
| Kestra Medical Technology Services, Inc. | $14.88 | 1 |
What the 2025 payments were for
- Food and Beverage$197.48 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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