Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles Travis Greenley, PA-C

Individual provider Physician Assistant · NPI 1740418243

Mr. Charles Travis Greenley, PA-C is a Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11555 Central Pkwy Ste 304
Jacksonville, FL 32224-2691
Phone: (904) 265-7755
Fax: (904) 265-7754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA9105062 (FL)

Record details

NPI number1740418243
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2009
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

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