Individual provider Active NPI

Walter Floyd, MD

  • Family Medicine Physician
  • Wetumpka, AL
National Provider Identifier
1649290974
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11396 Issued in AL
Practice address
11 Cambridge Dr
Wetumpka, AL 36093-1258
Phone
(334) 567-8633
Fax
(334) 567-9478
NPI assigned
Jul 20, 2006
Last updated
Feb 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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 11396 AL Primary

Addresses

Primary practice location

11 Cambridge Dr
Wetumpka, AL 36093-1258

Mailing address

11 Cambridge Dr
Wetumpka, AL 36093-1258
Phone (334) 567-8633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050921000233 AL Practitioner - Family Practice 3779517628 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11396ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wetumpka Urgent Care LLC CurrentSince Dec 1, 2011 Accepting new patients

Locations

11 Cambridge Dr
Wetumpka, AL 36093
Phone (334) 514-3747

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

Interoperability endpoints

  • Direct secure messaging: walter.floyd@wetumcare.direct.medconnect-inc.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1649290974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CAMBRIDGE DR",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360931258",
            "telephone_number": "334-567-8633",
            "fax_number": "334-567-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CAMBRIDGE DR",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360931258",
            "telephone_number": "334-567-8633",
            "fax_number": "334-567-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "11396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumpka, AL

Sources for this page

Verify at the official NPI Registry.