Individual provider Active NPI

Jan Floyd, MD

  • Pediatrics Physician
  • Hopkinsville, KY
National Provider Identifier
1326070699
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
39053 Issued in KY
Practice address
222 W 18TH St
Hopkinsville, KY 42240-1963
Phone
(270) 886-4625
NPI assigned
Jul 7, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 56349 TN
Pediatrics Physician 208000000X MD425732 PA
Pediatrics Physician 208000000X 39053 KY Primary

Addresses

Primary practice location

222 W 18TH St
Hopkinsville, KY 42240-1963

Mailing address

102 W 18TH St
Hopkinsville, KY 42240-1961
Phone (270) 707-2100

Other practice location 1

500 Clinic Dr
Hopkinsville, KY 42240-4991
Phone (270) 707-3300

Other practice location 2

10755 Eagle Way Ste 100
Hopkinsville, KY 42240-8742
Phone (270) 887-6813

Other practice location 3

111 Otis Smith Dr
Clarksville, TN 37043-8940
Phone (931) 553-6666

Other identifiers 1

IdentifierTypeStateIssuer
7100236300MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130403000498 KY Practitioner - Pediatric Medicine 5799731717 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39053KYMDPediatrics Physician
MD425732PAMDPediatrics Physician
56349TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc Current Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients
Jennie Stuart Medical Center Past Accepting new patients

Locations

102 W 18th St
Hopkinsville, KY 42240
Phone (270) 707-2100

105 Keeton Dr
Hopkinsville, KY 42240
Phone (270) 887-6565

10755 Eagle Way
Ste 100
Hopkinsville, KY 42240
Phone (270) 887-0270

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

222 W 18th St
Hopkinsville, KY 42240
Phone (270) 886-3962

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326070699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401961",
            "telephone_number": "270-707-2100",
            "fax_number": "270-707-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401963",
            "telephone_number": "270-886-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Clinic Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422404991",
            "country_code": "US",
            "telephone_number": "270-707-3300",
            "fax_number": "270-707-3334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10755 Eagle Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408742",
            "country_code": "US",
            "telephone_number": "270-887-6813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Otis Smith Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438940",
            "country_code": "US",
            "telephone_number": "931-553-6666",
            "fax_number": "931-553-6681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "JAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "56349",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD425732",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "39053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100236300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.