Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Kendis Archer , MD

General Practice β€’ Tallahassee, FL

Active NPI 1104031061 Individual Practitioner Male Practitioner
Practice location in NPPES

4720 Silent Creek Ln
Tallahassee, FL 323038946

Call 7728019885 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4720 Silent Creek Ln

Tallahassee, FL 323038946

Telephone 7728019885
Organization at the Same NPPES Address or Phone
Leonidas Vitality Health Clinic Facility NPI 1053263582

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tallahassee and Florida

22 active clinicians are listed under General Practice with a practice address in Tallahassee, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tallahassee

0% of these 22 clinicians have the CMS telehealth indicator.

9.1% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-07-10
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES 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

License # reported to NPPES MO 2010040907

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

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Medical License
ME125164 (FL)
Other Identifier Medical License
2010040907 (MO)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 10, 2021

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

πŸ“
Updated Business Mailing Address July 10, 2021

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

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

General Practice (license number reported to NPPES: FL ME125164)

πŸ“
Updated Practice Location May 23, 2018

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

βœ…
NPI Profile Active March 03, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 03, 2015

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

πŸ“
Business Mailing Address (Initial Record) March 03, 2015

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

πŸ‘€
Provider Name / Credentials (Initial Record) March 03, 2015

Recorded as KENDIS ARCHER, MD

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

General Practice (license number reported to NPPES: MO 2010040907)

🟒
Initial NPI Registration & Enumeration May 14, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

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

Other General Practices in Tallahassee

Healthcare providers in Tallahassee

Mailing Address

4720 Silent Creek Ln

Tallahassee, FL 323038946

Phone: 7728019885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.