Active NPI
James L Floyd Jr., M.D.
- Family Medicine Physician
- Conway, SC
National Provider Identifier
1336317593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10343
- Practice address
- 128A Professional Park Place
Agape Physicians Care
Conway, SC 29526-9260 - Phone
- (843) 914-1057
- Fax
- (843) 914-1058
- NPI assigned
- Feb 11, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10343 | SC | Primary |
Addresses
Primary practice location
128A Professional Park Place
Agape Physicians Care
Conway, SC 29526-9260
Mailing address
1624 Main Street Agape Senior Primary Care, Inc.,
Dba Agape Physicians Care
Columbia, SC 29201
Phone (803) 454-0365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4505 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10343 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunes Medical Center PA | Past | Accepting new patients |
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.
-
- Specialist
- Myrtle Beach, SC
- NPI 1164401238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1336317593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 MAIN STREET AGAPE SENIOR PRIMARY CARE, INC.,",
"address_2": "DBA AGAPE PHYSICIANS CARE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29201",
"telephone_number": "803-454-0365",
"fax_number": "803-404-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128A PROFESSIONAL PARK PLACE",
"address_2": "AGAPE PHYSICIANS CARE",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269260",
"telephone_number": "843-914-1057",
"fax_number": "843-914-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "10343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4505",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.