Healthcare Provider Details

I. General information

NPI: 1023057775
Provider Name (Legal Business Name): FLOYD HEALTHCARE MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 SHORTER AVE NW
ROME GA
30165-4268
US

IV. Provider business mailing address

306 SHORTER AVE NW
ROME GA
30165-4268
US

V. Phone/Fax

Practice location:
  • Phone: 706-509-3500
  • Fax: 706-509-4791
Mailing address:
  • Phone: 706-509-3500
  • Fax: 706-509-4791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number057-556
License Number StateGA

VIII. Authorized Official

Name: KURT STUENKEL
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 706-509-6900