Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114085115 Individual Practitioner Male Practitioner

Gregory Brent Archer , PA-C

Physician Assistant • Niceville, FL

Professional Overview & Biography Verified Profile Summary

Gregory Archer, PA-C is a registered healthcare professional specializing in Physician Assistant in Niceville, FL. Practice services are available at 550-A TWIN CITIES BOULEVARD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

550-A Twin Cities Boulevard
Orthopaedic And Spine Surgery Center

Niceville, FL 32578

Telephone 8507291444
Associated Practice Facility / Clinic
🏢 Stephen T. Enguidanos, Md Facility NPI 1144252925

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Niceville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.6 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Niceville, 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL 1039420

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

Commercial Insurance / Payer ID Medicare Ptan
EE914Z (FL)
Commercial Insurance / Payer ID Bluecrossblue Shield Provider Number
Y05UU (FL)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Harry Johnson , PA-C

Physician Assistant - Medical

NPI 1144260746

Physician Assistant (Certified)

Dr. Stephen Enguidanos , MD

Orthopaedic Surgery

NPI 1821025008

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 17, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2011

Registered at 550-A TWIN CITIES BOULEVARD, ORTHOPAEDIC AND SPINE SURGERY CENTER, NICEVILLE, FL 32578 (Tel: 8507291444)

📍
Updated Business Mailing Address January 17, 2011

Registered at 550-A TWIN CITIES BOULEVARD, ORTHOPAEDIC AND SPINE SURGERY CENTER, NICEVILLE, FL 32578 (Tel: 8507291444)

👤
Provider Name / Credentials Updated January 17, 2011

Recorded as GREGORY ARCHER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2011

Physician Assistant (License #1039420 in FL)

🟢
Initial NPI Registration & Enumeration December 04, 2006

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: 1114085115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: January 17, 2011
Sole Proprietor: No

Mailing Address

550-A Twin Cities Boulevard, Orthopaedic And Spine Surgery Center

Niceville, FL 32578

Phone: 8507291444

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.