Individual provider Active NPI

Mark Floyd, MD

  • Family Medicine Physician
  • Nashville, AR
National Provider Identifier
1437118684
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C6182 Issued in AR
Practice address
508 N 2ND St
Nashville, AR 71852-3925
Phone
(870) 455-0134
Fax
(870) 277-2230
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C6182 AR Primary

Addresses

Primary practice location

508 N 2ND St
Nashville, AR 71852-3925

Mailing address

508 N 2ND St
Nashville, AR 71852-3925
Phone (870) 455-0134

Other identifiers 1

IdentifierTypeStateIssuer
103068001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040820000834 AR Practitioner - Family Practice 5799759270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling Clinic, Inc.Group PAC ID 0547665382, 14 clinicians

Practice addresses (Care Compare)

508 N 2ND St
Nashville, AR 71852-3925
Phone (870) 455-0134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6182ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Clinic, Inc. CurrentSince May 6, 2024 Accepting new patients

Locations

508 N 2nd St
Nashville, AR 71852
Phone (870) 455-0134

Interoperability endpoints

  • Direct secure messaging: mfloyd164153@directb.mercy.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1437118684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N 2ND ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523925",
            "telephone_number": "870-455-0134",
            "fax_number": "870-277-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N 2ND ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523925",
            "telephone_number": "870-455-0134",
            "fax_number": "870-277-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103068001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

Verify at the official NPI Registry.