Individual provider · Type 1 NPI

Charles Travis Greenley, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1740418243 Active

Practice location

11555 Central Pkwy, Suite 304
Jacksonville, FL 32224-2691

Call (904) 265-7755 Map

Fax (904) 265-7754

Mailing address

7855 Argyle Forest Blvd, Suite 101
Jacksonville, FL 32244-5596

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Physician Assistant 363A00000XPA9105062 (FL)

Physician Assistant: 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, orde…

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About NPI 1740418243

Charles Travis Greenley, PA-C's National Provider Identifier is 1740418243, issued on Jun 24, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 12, 2026.