Jennifer Ann Floyd
Individual provider Active NPI Nurse Practitioner · Senatobia, MS
NPI 1508553512 · NPPES record last updated Apr 19, 2023
Key facts
- NPI
- 1508553512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 905865 (MS)
- Practice address
- 3747 Highway 51 S
Senatobia, MS 38668-2942 - Phone
- (662) 612-4549
- Fax
- (662) 301-8596
- NPI assigned
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Mental Health-Mental Retardation Commission
Pathway Healthcare- Mississippi LLC
Practice addresses (Care Compare)
2434 S Eason Blvd
Tupelo, MS 38804-6942
Phone (662) 640-4595
605 2ND Ave N
Columbus, MS 39701-4513
Phone (662) 434-4210
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230831001798 | MS | Practitioner - Nurse Practitioner | 0648633156 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905865 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Track Medical Group, Inc | Current |
Accepting new patients | |
| Pathway Healthcare- Mississippi LLC | Current |
Accepting new patients | |
| Better Version Intellective Healthcare Inc | Current | Accepting new patients | |
| Impact Behavioral Counseling LLC | Past |
Accepting new patients | |
| Precise Clinical Neuroscience Specialists | Past | Accepting new patients | |
| Impact Healthcare, PLLC | Past | Accepting new patients |
Locations
48 Medical Park Dr E
Ste 453
Birmingham, AL 35235
Phone (205) 517-7730
2655 Lakeland Dr
Jackson, MS 39232
Phone (601) 932-8212
5 Dunnbarr
Laurel, MS 39440
Phone (662) 434-4210
200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 905865 | MS | Yes |
Addresses
Primary practice location
3747 Highway 51 S
Senatobia, MS 38668-2942
Mailing address
5133 Coonewah TRL
Tupelo, MS 38801-6947
Phone (225) 678-6567
Other providers in Senatobia, MS
- Tonya Dixon
- Drayer Physical Therapy Mississippi LLC
- Jessica Dupree
- David Ferguson
- Five Star Pharmacy, LLC
- Front Porch Psychiatry, PLLC
- Ga Stover Health Center PA
- Marley Gant
- Kenneth Bryan Gautier
- Getwell Pharmacy of Tennessee, Inc.
All providers in Senatobia, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.