Active NPI
Jamie Alissa Floyd, PA-C
- Physician Assistant
- Charlotte, NC
National Provider Identifier
1942262001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103482
- Practice address
- 7004 Smith Corners Blvd
Suite a
Charlotte, NC 28269-3793 - Phone
- (704) 688-9650
- Fax
- (704) 688-9651
- NPI assigned
- Apr 4, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103482 | NC | Primary |
Addresses
Primary practice location
7004 Smith Corners Blvd
Suite a
Charlotte, NC 28269-3793
Mailing address
7004 Smith Corners Blvd
Suite a
Charlotte, NC 28269-3793
Phone (704) 688-9650
Other names 1
- Jamie Alissa Thompson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070307000320 | NC | Practitioner - Physician Assistant | 8820191166 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103482 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davidson Family Medicine, P.a. | Current | Accepting new patients | |
| Carolina Family Medicine & Urgent Care PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Davidson, NC
- NPI 1811958812
-
- Internal Medicine Physician
- Statesville, NC
- NPI 1740499714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1942262001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7004 SMITH CORNERS BLVD",
"address_2": "SUITE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282693793",
"telephone_number": "704-688-9650",
"fax_number": "704-688-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7004 SMITH CORNERS BLVD",
"address_2": "SUITE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282693793",
"telephone_number": "704-688-9650",
"fax_number": "704-688-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "JAMIE",
"middle_name": "ALISSA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "THOMPSON",
"middle_name": "ALISSA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.