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

Mrs. Tiffany Jo Archer, PA-C

Individual provider Medical Physician Assistant · NPI 1386896595

Mrs. Tiffany Jo Archer, PA-C is a Physician Assistant in Gulfport, Mississippi. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2008, 18 years ago. Practices with Inova Ucc LLC, a 153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Kansas.

Years since qualifying
18
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
CA, KS
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5501 Marvin Shields Blvd
Gulfport, MS 39501-9007
Phone: (228) 871-4033
Fax: (228) 871-3344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Hospital Americano, Base Naval De Rota, Rota, 11530 — (785) 215-1664

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 19896 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 15-01691 (KS)

Record details

NPI number1386896595
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 21, 2008
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2008 (18 years in practice)
Group practice Inova Ucc Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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