MEDICARE: MICHAEL R FLOYD EDD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	P930	TN

General Provider Information

NPI Number	:	1427006626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL R FLOYD EDD

Provider Business Mailing Address
First Line	:	208 W MAIN ST
Second Line	:
City	:	JONESBOROUGH
State	:	TN
Zip	:	37659-1230
Country	:	US
Telephone Number	:	423-306-3249
Fax Number	:	423-464-4212

Provider Business Practice Location Address
First Line	:	208 W MAIN ST
Second Line	:
City	:	JONESBOROUGH
State	:	TN
Zip	:	37659-1230
Country	:	US
Telephone Number	:	423-306-3249
Fax Number	:	423-464-4212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	05/11/2026

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