Individual provider Active NPI

Amy Floyd, FNP

  • Family Nurse Practitioner
  • Grenada, MS
National Provider Identifier
1972859809
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R827311 Issued in MS
Practice address
965 Avent Dr
Grenada, MS 38901-5045
Phone
(662) 227-6488
NPI assigned
Jul 29, 2012
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R827311 MS Primary

Addresses

Primary practice location

965 Avent Dr
Grenada, MS 38901-5045

Mailing address

965 Avent Dr
Ste 100B
Grenada, MS 38901-5045
Phone (662) 227-6488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130228000180 MS Practitioner - Nurse Practitioner 4385899186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

965 Avent Dr
Grenada, MS 38901-5045
Phone (662) 227-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi-University of Mississippi Medical Center Past Accepting new patients
University Physicians, PLLC Past Accepting new patients

Locations

965 Avent Dr
Grenada, MS 38901
Phone (662) 226-7051

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

965 Avent Dr
Ste 100B
Grenada, MS 38901
Phone (662) 226-6488

965 Avent Dr
Ste 102
Grenada, MS 38901
Phone (662) 227-7000

965 Avent Dr
Ste 106
Grenada, MS 38901
Phone (662) 227-6450

Interoperability endpoints

  • Direct secure messaging: afloyd49519@ummc.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1972859809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 AVENT DR",
            "address_2": "STE 100B",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015045",
            "telephone_number": "662-227-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 AVENT DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015045",
            "telephone_number": "662-227-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-29",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R827311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

Verify at the official NPI Registry.