Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104031061 Individual Practitioner Male Practitioner

Dr. Kendis Archer , MD

General Practice • Tallahassee, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kendis Archer, MD is a registered healthcare professional specializing in General Practice in Tallahassee, FL. Practice services are available at 4720 SILENT CREEK LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4720 Silent Creek Ln

Tallahassee, FL 323038946

Telephone 7728019885
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Tallahassee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Tallahassee, FL (2490 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: 2021-07-10
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME125164

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License MO 2010040907

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License
ME125164 (FL)
Commercial Insurance / Payer ID Medical License
2010040907 (MO)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 10, 2021

Registered at 4720 SILENT CREEK LN, TALLAHASSEE, FL 323038946 (Tel: 7728019885)

📍
Updated Business Mailing Address July 10, 2021

Registered at 4720 SILENT CREEK LN, TALLAHASSEE, FL 323038946 (Tel: 7728019885)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2021

General Practice (License #ME125164 in FL)

📍
Updated Practice Location May 23, 2018

Registered at 1506 BARCELONA AVE, FORT PIERCE, FL 34946 (Tel: 7727089806)

NPI Profile Active March 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2015

Registered at 3625 F C I RD, MARIANNA, FL 324467917 (Tel: 8505262032)

📍
Updated Business Mailing Address March 03, 2015

Registered at 220 NW BAYSHORE BLVD, PORT SAINT LUCIE, FL 349831504 (Tel: 7722918355)

👤
Provider Name / Credentials Updated March 03, 2015

Recorded as KENDIS ARCHER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2015

General Practice (License #2010040907 in MO)

🟢
Initial NPI Registration & Enumeration May 14, 2007

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: 1104031061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2007
Last Update: July 10, 2021
Sole Proprietor: Yes

Mailing Address

4720 Silent Creek Ln

Tallahassee, FL 323038946

Phone: 7728019885

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.