GREGORY BRENT ARCHER PA-C
NPI 1114085115
Physician Assistant in Niceville, FL

Active since December 04, 2006
550-A TWIN CITIES BOULEVARD, ORTHOPAEDIC AND SPINE SURGERY CENTER, NICEVILLE, FL 32578(850) 729-1444 Get Directions Write a Review

NPPES record last updated: January 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregory Brent Archer Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY BRENT ARCHER PA-C (NPI 1114085115) is an individual physician assistant in Niceville, Florida, licensed in Florida (1039420) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1114085115
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGREGORY BRENT ARCHERCredential: PA-C
Location Address550-A TWIN CITIES BOULEVARD, ORTHOPAEDIC AND SPINE SURGERY CENTERNiceville, FL 32578
Mailing Address550-a Twin Cities Boulevard, Orthopaedic And Spine Surgery CenterNiceville, FL 32578 · (850) 729-1444
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateJanuary 17, 2011
NPI 1114085115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · 1039420
Definition
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.
550-A TWIN CITIES BOULEVARD, Niceville, FL 32578

Other Identifiers 3

Medicare PINK8782FL
OtherEE914ZFL · Medicare Ptan
OtherY05UUFL · Bluecrossblue Shield Provider Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Archer's NPI number?

The NPI number for Gregory Archer is 1114085115. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Gregory Archer located?

Gregory Archer practices at 550-A Twin Cities Boulevard Orthopaedic And Spine Surgery Center, Niceville, FL 32578. The listed phone number is (850) 729-1444.

What is Gregory Archer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Gregory Archer was last updated on January 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.