NPIMap

Organization Active NPI

Floyd Healthcare Management, Inc.

  • Non-Pharmacy Dispensing Site
  • Rome, GA
National Provider Identifier
1881101566
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
057556 Issued in GA
Legal business name
FLOYD HEALTHCARE MANAGEMENT, INC.
Practice address
5 Douglas St SE
Rome, GA 30161-6984
Phone
(706) 291-6528
NPI assigned
Jan 4, 2018
Last updated
Aug 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Gorman
Title
VP of Corporate and Network Service
Phone
(706) 509-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 057556 GA Primary

Addresses

Primary practice location

5 Douglas St SE
Rome, GA 30161-6984

Mailing address

420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3000

Other names 1

  • Southeastern Mills Custom Food and Coatings Other name

National Provider Directory

National Provider Directory
Tax ID family
Family Practice Redisen23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

5 Douglas St SE
Rome, GA 30161
Phone (706) 291-6528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1881101566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DOUGLAS ST SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616984",
            "telephone_number": "706-291-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD HEALTHCARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VP OF CORPORATE AND NETWORK SERVICE",
        "authorized_official_telephone_number": "706-509-5000"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "GA",
            "license": "057556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Mills Custom Food and Coatings",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.