JERRY RAY FLOYD (MD) – Family Medicine Physician, NPI 1083779235

JERRY RAY FLOYD (MD) is a healthcare provider. based in Millington, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD0000028821 (TN). The NPI Number for JERRY RAY FLOYD (MD) is 1083779235

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JERRY RAY FLOYD (MD)
NPI
1083779235
Phone
(901) 873-2555
Address
8507 US HIGHWAY 51 N
Enumeration Date
27 December 2006
Last Update Date
12 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9018732555
Graduation Year
1991 (35 years ago)
PAC ID
9638120470
Group Practice PAC ID
2365701943
Professional Enrollment ID
I20100331000127
Address ID
TN380531535MI8507XNXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for JERRY RAY FLOYD (MD)

  • Oregon Coast Highway, Millington, Coos County, Oregon, 97420, United States

    SUITE 107

    MILLINGTON, TN 380531535

    Phone: (901) 873-2555

    Fax: (901) 873-2561

    Type: Location

  • 8507 HWY 51 N

    SUITE 107

    MILLINGTON, TN 380531535

    Phone: (901) 873-2555

    Fax: (901) 873-2561

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100331000127IFamily PracticeTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes497220$0
82962Blood glucose (sugar) test performed by hand-held instrument192103$0
83036Hemoglobin a1c level9766$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5555$0
99213Established patient office or other outpatient visit, 20-29 minutes5442$0
View full utilization report →

Insurance plans in this area (ZIP 38053)

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Provider's Procedures

JERRY RAY FLOYD (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETN83036Hemoglobin A1C level15093
FAMILY MEDICINETN85610Blood test, clotting time9913

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365701943View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineTN
General SurgeryTN
Family PracticeTN
Interventional Cardiology, Cardiovascular Disease (Cardiology)TN
-TN
General SurgeryTN
Physician AssistantMS
-TN
Physician AssistantTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What federal number belongs to JERRY RAY FLOYD (MD)?
The federal identifier for JERRY RAY FLOYD (MD) is NPI 1083779235.
Is JERRY RAY FLOYD (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JERRY RAY FLOYD (MD) treat or focus on?
Patients typically see JERRY RAY FLOYD (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JERRY RAY FLOYD (MD)'s primary listing?
We display Millington, Tennessee because that is what the record indicates for JERRY RAY FLOYD (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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