Active NPI
Tommie Joann Floyd, A.P.N.
- Family Nurse Practitioner
- Douglasville, GA
National Provider Identifier
1013396878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN123475
- Practice address
- 6025 Professional Pkwy Ste 200
Douglasville, GA 30134-5610 - Phone
- (770) 949-0555
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN123475 | GA | Primary |
Addresses
Primary practice location
6025 Professional Pkwy Ste 200
Douglasville, GA 30134-5610
Mailing address
845 Scenic Hwy
#100
Lawrenceville, GA 30046-7103
Phone (770) 962-6443
Other practice location 1
845 Scenic Hwy
#100
Lawrenceville, GA 30046-7103
Phone (770) 962-6443
Other names 1
- Tommie Joann Floyd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN123475 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bortolazzo Group, LLC | Current | Accepting new patients |
Locations
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1013396878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 SCENIC HWY",
"address_2": "#100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467103",
"telephone_number": "770-962-6443",
"fax_number": "770-964-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 PROFESSIONAL PKWY STE 200",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345610",
"telephone_number": "770-949-0555"
}
],
"practiceLocations": [
{
"address_1": "845 Scenic Hwy",
"address_2": "#100",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300467103",
"country_code": "US",
"telephone_number": "770-962-6443",
"fax_number": "770-964-8355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLOYD",
"first_name": "TOMMIE",
"middle_name": "JOANN",
"name_prefix": "Ms.",
"credential": "A.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN123475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TOMMIE",
"last_name": "FLOYD",
"middle_name": "JOANN",
"credential": "MSN, APRN,FNP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.