MRS. TIFFANY JO ARCHER PA-C
NPI 1386896595
Physician Assistant in Gulfport, MS
About Mrs. Tiffany Jo Archer Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TIFFANY JO ARCHER PA-C (NPI 1386896595) is an individual physician assistant in Gulfport, Mississippi, licensed in California (19896) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rota, and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2008).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Tiffany Jo Archer Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GULFPORT, MS 39501
GULFPORT, MS 39501
GULFPORT, MS 39501
GULFPORT, MS 39501
GULFPORT, MS 39501
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 Tiffany Archer's NPI number?
The NPI number for Tiffany Archer is 1386896595. It was assigned to this individual provider in the NPPES registry on October 21, 2008.
Where is Tiffany Archer located?
Tiffany Archer practices at 5501 Marvin Shields Blvd, Gulfport, MS 39501. The listed phone number is (228) 871-4033.
What is Tiffany Archer's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Tiffany Archer enrolled in Medicare?
Yes. Tiffany Archer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Tiffany Archer was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Tiffany Jo Archer, PA-C · NPI 1386896595
Physician Assistant physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since October 21, 2008.
## Identity
- **NPI:** 1386896595 (Entity type: Individual)
- **Enumerated:** October 21, 2008
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 19896 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5501 MARVIN SHIELDS BLVD, Gulfport, MS 39501-9007
- **Phone:** (228) 871-4033 · **Fax:** (228) 871-3344
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Western Un Of Hlth Sciences, Col Of Podiatric Med, class of 2008
## Record status
- **NPPES last updated:** November 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386896595) · Data from the CMS NPPES public registry.