Individual provider Active NPI

Jay William Floyd, MD

  • Family Medicine Physician
  • Brunswick, GA
National Provider Identifier
1861460313
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
073914 Issued in GA
Practice address
106 Shoppers Way
Suite 1
Brunswick, GA 31525-0530
Phone
(912) 275-8028
NPI assigned
Mar 10, 2006
Last updated
May 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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 073914 GA Primary

Addresses

Primary practice location

106 Shoppers Way
Suite 1
Brunswick, GA 31525-0530

Mailing address

106 Shoppers Way
Suite 1
Brunswick, GA 31525-0530
Phone (912) 275-8028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20150902000171 GA Practitioner - Family PracticePractitioner - General Practice 1850491671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
University of Maryland School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

3222 Shrine Rd a
Brunswick, GA 31520-4357
Phone (912) 264-6303

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services Inc CurrentSince Jun 1, 2015 Accepting new patients
Coastal Community Health Services, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Cooperative Healthcare Services Inc Family Medicine CurrentSince Aug 30, 2022 Accepting new patients

Locations

100 Professional Center Dr
Brunswick, GA 31525

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3222 Shrine Rd
Ste A
Brunswick, GA 31520
Phone (912) 264-6303

Interoperability endpoints

  • Direct secure messaging: jfloyd1@secure.sghsmessaging.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1861460313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SHOPPERS WAY",
            "address_2": "SUITE 1",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250530",
            "telephone_number": "912-275-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SHOPPERS WAY",
            "address_2": "SUITE 1",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250530",
            "telephone_number": "912-275-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "JAY",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "073914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.