NPIMap

Organization Active NPI

Floyd Healthcare Management, Inc.

Doing business as Floyd Primary Care

  • Clinic/Center
  • Rockmart, GA
National Provider Identifier
1902917040
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FLOYD HEALTHCARE MANAGEMENT, INC.
Doing business as
Floyd Primary Care
Practice address
1008 N Piedmont Ave
Rockmart, GA 30153-2526
Phone
(770) 684-7846
Fax
(770) 684-8294
NPI assigned
Aug 31, 2006
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
FLOYD HEALTHCARE MANAGEMENT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dee B. Russell, M.D.
Title
Executive Vice President
Phone
(706) 509-3278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1008 N Piedmont Ave
Rockmart, GA 30153-2526

Mailing address

420 E 2ND Ave
Suite 103
Rome, GA 30161-3224
Phone (706) 509-3278

Other identifiers 1

IdentifierTypeStateIssuer
00000756DMedicaidGA

Other names 1

  • Floyd Primary Care Doing business as

National Provider Directory

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

Other organizations with this tax ID 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 5

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1902917040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE",
            "address_2": "SUITE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613224",
            "telephone_number": "706-509-3278",
            "fax_number": "706-509-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N PIEDMONT AVE",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301532526",
            "telephone_number": "770-684-7846",
            "fax_number": "770-684-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD HEALTHCARE MANAGEMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLOYD HEALTHCARE MANAGEMENT, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "706-509-3278",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000756D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floyd Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockmart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.