Active NPI
Amanda Lee Floyd, LAPC
- Professional Counselor
- Fayetteville, GA
National Provider Identifier
1649577693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC002538
- Practice address
- 500 Lanier Ave W
Ste 606a
Fayetteville, GA 30214-7636 - Phone
- (678) 378-5562
- NPI assigned
- Feb 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC002538 | GA | Primary |
Addresses
Primary practice location
500 Lanier Ave W
Ste 606a
Fayetteville, GA 30214-7636
Mailing address
9 Ashley Oaks LN
Newnan, GA 30263-2841
Phone (678) 378-5562
Other names 1
- Amanda Lee Floyd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC002538 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298678400000",
"number": "1649577693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 ASHLEY OAKS LN",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302632841",
"telephone_number": "678-378-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LANIER AVE W",
"address_2": "STE 606A",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147636",
"telephone_number": "678-378-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "AMANDA",
"middle_name": "LEE",
"credential": "LAPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-26",
"last_updated": "2011-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC002538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "FLOYD",
"middle_name": "LEE",
"credential": "LAPC, CRC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.