KANANI DANIELS FLOYD (PA-C) – Medical Physician Assistant, NPI 1154624013
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for KANANI DANIELS FLOYD (PA-C)
1805 PARKE PLAZA CIR
SUITE 101
STONE MOUNTAIN, GA 300873637
Phone: (770) 469-7000
Fax: (770) 879-0436
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $367.
Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Abbott Laboratories ($115).
Total Amount
$367
General + Research + Ownership
Payments
19
Total payment records
General Amount
$367
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $115 |
| PFIZER INC. | $69 |
| Dexcom, Inc. | $41 |
| Amgen Inc. | $39 |
| Phadia US Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150506001941 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 30087)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| Diagnostic Radiology | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | WA | |
| - | GA | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease | GA | |
| Diagnostic Radiology | KY |
Reviews
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