Individual provider Active NPI

Naomi Grace Pepper Lynch, PA-C

  • Physician Assistant
  • Englewood, FL
National Provider Identifier
1316827884
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120648 Issued in FL
Practice address
714 Doctors Dr
Englewood, FL 34223-3992
Phone
(941) 460-1300
Fax
(866) 504-3674
NPI assigned
Sep 5, 2025
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120648 FL Primary

Addresses

Primary practice location

714 Doctors Dr
Englewood, FL 34223-3992

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

901 Tamiami Trl S Ste A2
Venice, FL 34285-3668
Phone (941) 484-3531

Other names 1

  • Naomi Grace Pepper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007003201 FL Practitioner - Physician Assistant 4981101946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2890 Ctr Pointe Dr
Fort Myers, FL 33916

PO Box
Atlanta, GA 30368

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9120648FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Sep 30, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC PastSince Sep 8, 2025 Accepting new patients

Locations

714 Doctors Dr
Englewood, FL 34223
Phone (941) 460-1300

714 Doctors Dr
Fl Cancer
Englewood, FL 34223
Phone (941) 460-1300

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

901 Tamiami Trl S
Ste A2
Venice, FL 34285
Phone (941) 484-3531

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1316827884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 DOCTORS DR",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233992",
            "telephone_number": "941-460-1300",
            "fax_number": "866-504-3674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Tamiami Trl S Ste A2",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342853668",
            "country_code": "US",
            "telephone_number": "941-484-3531",
            "fax_number": "941-486-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "NAOMI",
        "middle_name": "GRACE PEPPER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "PEPPER",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.