Individual provider Active NPI

Erin Stewart Floyd, PA-C

  • Medical Physician Assistant
  • Conway, SC
National Provider Identifier
1508127911
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 1724 Issued in SC
Practice address
1301 Creel St
Conway, SC 29527-5018
Phone
(843) 248-4414
Fax
(843) 248-3781
NPI assigned
Jun 1, 2012
Last updated
Apr 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 1724 SC Primary

Addresses

Primary practice location

1301 Creel St
Conway, SC 29527-5018

Mailing address

1301 Creel St
Conway, SC 29527-5018
Phone (843) 248-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170926003653 SC Practitioner - Physician Assistant 1153695382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Health CherawGroup PAC ID 7911228259, shared by 6 NPIs, 35 clinicians

Practice addresses (Care Compare)

3032 E Hwy 76
Mullins, SC 29574-7396
Phone (843) 464-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 1724SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw CurrentSince Mar 28, 2022 Accepting new patients
McLeod Health Cheraw CurrentSince Mar 28, 2022 Accepting new patients
McLeod Physician Associates, Inc Past Accepting new patients

Locations

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

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.

Hospital & facility affiliations 6

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": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1508127911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CREEL ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295275018",
            "telephone_number": "843-248-4414",
            "fax_number": "843-248-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CREEL ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295275018",
            "telephone_number": "843-248-4414",
            "fax_number": "843-248-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "ERIN",
        "middle_name": "STEWART",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "PA 1724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.