KANANI DANIELS FLOYD PA-C
NPI 1154624013
Physician Assistant - Medical in Stone Mountain, GA

Active since December 15, 2010PECOS EnrolledAccepts Medicare Assignment
1805 PARKE PLAZA CIR, SUITE 101, STONE MOUNTAIN, GA 30087(770) 469-7000(770) 879-0436 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kanani Daniels Floyd Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANANI DANIELS FLOYD PA-C (NPI 1154624013) is an individual medical provider in Stone Mountain, Georgia, licensed in Georgia (05335) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2007).

NPPES Registry Identity

NPI1154624013
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKANANI DANIELS FLOYDCredential: PA-C
Location Address1805 PARKE PLAZA CIR, SUITE 101Stone Mountain, GA 30087-3637
Mailing Address1805 Parke Plaza Cir, Suite 101Stone Mountain, GA 30087-3637 · (770) 469-7000 · Fax (770) 879-0436
Fax(770) 879-0436
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2007
Enumeration DateDecember 15, 2010
NPI 1154624013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 05335
1805 PARKE PLAZA CIR, Stone Mountain, GA 30087

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kanani Daniels Floyd Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507185097
PECOS Enrollment IDI20150506001941
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services12 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$12.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1805 PARKE PLAZA CIR, SUITE 101
STONE MOUNTAIN, GA 30087
Family Medicine
1805 PARKE PLAZA CIR, SUITE 101
STONE MOUNTAIN, GA 30087
Physician Assistant (Medical)
1805 PARKE PLAZA CIR, SUITE 101
STONE MOUNTAIN, GA 30087
Family Medicine
1805 PARKE PLAZA CIR, SUITE 101
STONE MOUNTAIN, GA 30087
Pediatrics
1805 PARKE PLAZA CIR, STE 103
STONE MOUNTAIN, GA 30087
Pediatrics
1805 PARKE PLAZA CIR, STE 103
STONE MOUNTAIN, GA 30087
Obstetrics & Gynecology
1805 PARKE PLAZA CIR, SUITE 102
STONE MOUNTAIN, GA 30087
Pediatrics
1805 PARKE PLAZA CIR, SUITE 103
STONE MOUNTAIN, GA 30087

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanani Floyd's NPI number?

The NPI number for Kanani Floyd is 1154624013. It was assigned to this individual provider in the NPPES registry on December 15, 2010.

Where is Kanani Floyd located?

Kanani Floyd practices at 1805 Parke Plaza Cir Suite 101, Stone Mountain, GA 30087. The listed phone number is (770) 469-7000.

What is Kanani Floyd's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kanani Floyd enrolled in Medicare?

Yes. Kanani Floyd is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kanani Floyd accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kanani Floyd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kanani Floyd was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.