Amy Floyd, FNP
Individual provider Active NPI Family Nurse Practitioner · Grenada, MS
NPI 1972859809 · NPPES record last updated Apr 5, 2018
Key facts
- NPI
- 1972859809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R827311 (MS)
- Practice address
- 965 Avent Dr
Grenada, MS 38901-5045 - Phone
- (662) 227-6488
- NPI assigned
- Jul 29, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Mississippi - University of Mississippi Medical Center
Practice addresses (Care Compare)
965 Avent Dr
Grenada, MS 38901-5045
Phone (662) 227-7444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130228000180 | MS | Practitioner - Nurse Practitioner | 4385899186 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New 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
Ste 106
Grenada, MS 38901
Phone (662) 227-6450
965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000
965 Avent Dr
Grenada, MS 38901
Phone (662) 227-6426
965 Avent Dr
Ste 102
Grenada, MS 38901
Phone (662) 227-7000
965 Avent Dr
Ste 100B
Grenada, MS 38901
Phone (662) 226-6488
Interoperability endpoints
- afloyd49519@ummc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R827311 | MS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07702276 | Medicaid | MS | |
| 1972859809 | Other | MS | BLUE CROSS AND BLUE SHEILD |
Other providers in Grenada, MS
- Family Health Care Clinic, Inc.
- Family Health Clinic of Grenada
- Tabatha Fant
- Emily A Fite
- Laura Hill Flippin
- Mary Anne Frank-Tarsi
- Rebecca J Franklin
- Sarah Katherine Gantz Pannel
- George M Miller Jr MD PC
- Gibson Pharmacy of Grenada, Inc
All providers in Grenada, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.