Jennifer Ann Floyd

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

905865 Issued in MS

Practice address

3747 Highway 51 S
Senatobia, MS 38668-2942

Phone

(662) 612-4549

Fax

(662) 301-8596

NPI assigned

Apr 19, 2023

Last updated

Apr 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Mental Health-Mental Retardation CommissionGroup PAC ID 5193611747, 10 clinicians

Pathway Healthcare- Mississippi LLCGroup PAC ID 3779844774, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pathway Healthcare- Mississippi LLC

  • Addiction Medicine (Family Medicine) Physician
  • Laurel, MS
  • NPI 1013425503
  Medicare reassignment Care Compare group NPD
• Northeast Mental Health-Mental Retardation Commission

  dba Lifecore Health Group

  • Rural Health Clinic/Center
  • Tupelo, MS
  • NPI 1548413628
  Medicare reassignment Care Compare group
• Right Track Medical Group, Inc

  • Psychiatry Physician
  • Olive Branch, MS
  • NPI 1972080257
  Medicare reassignment NPD
• Better Version Intellective Healthcare Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
  • NPI 1346065034
  NPD Authorized official
• Precise Clinical Neuroscience Specialists

  dba Right Track Medical Group

  • Psychiatry Physician
  • Flowood, MS
  • NPI 1770717449
  NPD (past)
• Boyett Healthcare of Tennessee, PLLC

  dba Impact Healthcare LLC

  • Addiction Medicine (Family Medicine) Physician
  • Jackson, TN
  • NPI 1487185153
  NPD (past)
• Impact Behavioral Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, TN
  • NPI 1386169050
  NPD (past)

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1508553512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 COONEWAH TRL",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016947",
            "telephone_number": "225-678-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 HIGHWAY 51 S",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682942",
            "telephone_number": "662-612-4549",
            "fax_number": "662-301-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Dixon, NP
• Drayer Physical Therapy Mississippi LLC
• Jessica Dupree, CPNP
• David Ferguson, ATC
• Five Star Pharmacy, LLC
• Front Porch Psychiatry, PLLC
• Ga Stover Health Center PA (Ruth Burnett Adult Day Services)
• Marley Gant
• Kenneth Bryan Gautier, M.D.
• Getwell Pharmacy of Tennessee, Inc. (GetWell Pharmacy of Senatobia #3400)

• Nurse Practitioner in Senatobia, MS
• Providers in Senatobia, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.

Verify at the official NPI Registry.