Amy Lynn Floyd, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-119261 Issued in AL

Practice address

5681 Highway 363
Mantachie, MS 38855-7632

Phone

(662) 282-4226

Fax

(662) 282-7946

NPI assigned

Jan 22, 2019

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mantachie Rural Health Care, Inc

  • Family Medicine Physician
  • Mantachie, MS
  • NPI 1033169545
  Care Compare group
• Mantachie Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Fulton, MS
  • NPI 1447031943
  Care Compare group
• Mantachie Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Fulton, MS
  • NPI 1508652330
  Care Compare group
• Mantachie Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Mantachie, MS
  • NPI 1720589070
  Care Compare group
• Boa Vida Hospital of Aberdeen, Ms LLC

  • Community/Retail Pharmacy
  • Aberdeen, MS
  • NPI 1134858269
  NPD
• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Multi-Specialty Clinic/Center
  • Aberdeen, MS
  • NPI 1710405741
  NPD
• Boa Vida Hospital of Aberdeen, Ms LLC

  • Rural Health Clinic/Center
  • Pontotoc, MS
  • NPI 1700477015
  NPD (past)
• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Rural Health Clinic/Center
  • Aberdeen, MS
  • NPI 1245757301
  NPD (past)
• Convenient Care of Fulton Inc

  • Family Medicine Physician
  • Fulton, MS
  • NPI 1932453610
  NPD (past)
• Pioneer Health Services of Monroe County, Inc

  • Rural Health Clinic/Center
  • Aberdeen, MS
  • NPI 1083658595
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mantachie Rural Health Care, Inc 12 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2020.

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1700340908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5681 HIGHWAY 363",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388557632",
            "telephone_number": "662-282-4226",
            "fax_number": "662-282-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5681 HIGHWAY 363",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388557632",
            "telephone_number": "662-282-4226",
            "fax_number": "662-282-7946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S Adams St",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MS",
            "postal_code": "388438862",
            "country_code": "US",
            "telephone_number": "662-862-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Red Bay",
            "state": "AL",
            "postal_code": "355823858",
            "country_code": "US",
            "telephone_number": "256-356-8907",
            "fax_number": "256-356-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903217",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-119261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "R877126",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Countrywood Manor Assisted Living, Inc.
• Extra Mile Recovery, LLC
• Kerri Fleming, OTR
• Joy Y Franks, CFNP
• Resa Frederick, M.ED, NCC, LPC
• Timothy Gillespie
• Hometown Care of Mantachie LLC
• Bonnie Renee' Jones, MSN, APRN, FNP-C

• All providers in Mantachie, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.