Active NPI
Samuel Steven Floyd Jr., PA-C
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103440
- Practice address
- 11010 S Tryon St
Ste. 108
Charlotte, NC 28273-0106 - Phone
- (704) 583-1155
- Fax
- (704) 504-2495
- NPI assigned
- Sep 20, 2006
- Last updated
- May 20, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103440 | NC | Primary |
Addresses
Primary practice location
11010 S Tryon St
Ste. 108
Charlotte, NC 28273-0106
Mailing address
11010 S Tryon St
Ste. 108
Charlotte, NC 28273-0106
Phone (704) 583-1155
Other practice location 1
252 Turnersburg Hwy # Kwy
Statesville, NC 28625-2754
Phone (704) 818-0369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Tree of Life LN
Cornelius, NC 28031-9454
Phone (704) 801-8100
1361 Klumac Rd
Salisbury, NC 28147-9086
Phone (704) 603-1175
252 Turnersburg Hwy
Suite E
Statesville, NC 28625-2755
Phone (704) 818-0369
391 George W Liles Pkwy NW
Concord, NC 28027-8218
Phone (704) 886-1780
7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.09 of 100
- Quality
- 65.78
- Improvement activities
- 40
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Solstas Lab Partners Group LLC | Past | Accepting new patients | |
| Northeastern Orthopedics, PA | Past | Accepting new patients | |
| Fastmed Primary Care, P.C. | Past | Accepting new patients | |
| Caromont Medical Group Inc | Past | Accepting new patients |
Locations
11530 Providence Rd
Ste 1300
Charlotte, NC 28277
Phone (704) 667-0780
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1020 Tree of Life Ln
Cornelius, NC 28031
Phone (704) 801-7330
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Diabetes & Nutrition Care
- Registered Dietitian
- Huntersville, NC
- NPI 1518405257
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1912774423
-
- Orthopaedic Surgery Physician
- Ahoskie, NC
- NPI 1821054339
-
- Clinical Medical Laboratory
- Valdosta, GA
- NPI 1407850985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1285731299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11010 S TRYON ST",
"address_2": "STE. 108",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282730106",
"telephone_number": "704-583-1155",
"fax_number": "704-504-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11010 S TRYON ST",
"address_2": "STE. 108",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282730106",
"telephone_number": "704-583-1155",
"fax_number": "704-504-2495"
}
],
"practiceLocations": [
{
"address_1": "252 Turnersburg Hwy # Kwy",
"address_purpose": "LOCATION",
"city": "Statesville",
"state": "NC",
"postal_code": "286252754",
"country_code": "US",
"telephone_number": "704-818-0369",
"fax_number": "704-878-8924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLOYD",
"first_name": "SAMUEL",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.