Provider Demographics
NPI:1134404072
Name:FLOYD, CHRISTY A (RN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:A
Last Name:FLOYD
Suffix:
Gender:F
Credentials:RN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30503-0658
Mailing Address - Country:US
Mailing Address - Phone:770-718-1122
Mailing Address - Fax:770-533-4786
Practice Address - Street 1:155 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:GA
Practice Address - Zip Code:30511-4000
Practice Address - Country:US
Practice Address - Phone:706-776-2368
Practice Address - Fax:706-776-2589
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN080953363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003116882BMedicaid
GA1707077OtherWELLCARE
GA1773745OtherWELLCARE
GA1773751OtherWELLCARE
GA1773752OtherWELLCARE
GA003116882FMedicaid
GA06210110OtherAMERIGROUP
GA1773747OtherWELLCARE
GA290720346AMedicaid
GA003116882EMedicaid
GA003116882CMedicaid
GA003116882DMedicaid