Individual provider Active NPI

Stephen L Floore, M.D.

  • General Practice Physician
  • Cairo, GA
National Provider Identifier
1033162003
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
017521 Issued in GA
Practice address
950 4TH St SE
Cairo, GA 39828-3064
Phone
(229) 377-7661
Fax
(229) 377-6832
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 017521 GA Primary

Addresses

Primary practice location

950 4TH St SE
Cairo, GA 39828-3064

Mailing address

950 4TH St SE
P.O. Box 179
Cairo, GA 39828-3064
Phone (229) 377-7661

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000162 GA Practitioner - General PracticePractitioner - General Surgery 7517921893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

950 4TH St SE
Cairo, GA 39828-3064
Phone (229) 377-7661

Hospital & facility affiliations

  • Grady General Hospital Hospital, Cairo, GA, CCN 110121
  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen L Floore MD PC Surgery CurrentSince Jul 1, 1966 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

950 4th St SE
Cairo, GA 39828
Phone (229) 377-7661

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1033162003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 4TH ST SE",
            "address_2": "P.O. BOX 179",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283064",
            "telephone_number": "229-377-7661",
            "fax_number": "229-377-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 4TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283064",
            "telephone_number": "229-377-7661",
            "fax_number": "229-377-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOORE",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "017521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

Verify at the official NPI Registry.