NPIMap

Individual provider Active NPI

Tanna R Vayon, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1144826041
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120807 Issued in FL
Practice address
9671 Gladiolus Dr Ste 109
Fort Myers, FL 33908-7684
Phone
(936) 230-4699
NPI assigned
Dec 7, 2020
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14209 TX
Physician Assistant 363A00000X PA9120807 FL Primary

Addresses

Primary practice location

9671 Gladiolus Dr Ste 109
Fort Myers, FL 33908-7684

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-6788

Other identifiers 1

IdentifierTypeStateIssuer
129765200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tvayon701633@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210524000968 TX Practitioner - Physician Assistant 4880093947 Reassigns benefits to 1 organization
I20260112000873 FL Practitioner - Physician Assistant 4880093947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 2147
Fort Myers, FL 33902

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9120807FLMDPhysician Assistant
PA14209TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Dec 2, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince Dec 2, 2024 Accepting new patients
Lee Health System Inc CurrentSince Dec 1, 2025 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Dec 16, 2024 Accepting new patients
Texas Oncology PA CurrentSince Dec 16, 2024 Accepting new patients
Lee Health System Inc CurrentSince Dec 1, 2025 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients
Source for Women of Houston Inc Care Net Pregnancy Center of Houston PastSince Dec 1, 2020 Accepting new patients
Plaza OB-GYN Associates PastSince Jan 1, 2021 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

9671 Gladiolus Dr
Ste 109
Fort Myers, FL 33908
Phone (239) 343-6788

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

17183 Interstate 45 S
Ste 530
Shenandoah, TX 77385
Phone (936) 270-4130

9180 Pinecroft Dr
Ste 600
Shenandoah, TX 77380
Phone (281) 296-0365

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHBJBD
  • Direct secure messaging: tvayon701633@direct.leememorial.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1144826041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-6788",
            "fax_number": "239-343-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 GLADIOLUS DR STE 109",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087684",
            "telephone_number": "936-230-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYON",
        "first_name": "TANNA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14209",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129765200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tvayon701633@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.