P Praxis·MD
● Active Type 1 · Individual

Kanani Daniels Floyd, PA-C

Physician Assistant·Stone Mountain, GA· NPI 1154624013 · Enumerated 2010 · 15 years on NPI
Floyd is 1 of 7 physician assistant providers in Stone Mountain and 1 of 1333 in Georgia.
NPI age
15 years
Enumerated 2010-12-15
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-12-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
15 years
≈ at median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-12Enumerated in NPPES
2010 2026

Where they practice

Practice location
1805 Parke Plaza Cir, Suite 101
Stone Mountain, GA 300873637
📞 7704697000fax 7708790436
Mailing address
1805 Parke Plaza Cir, Suite 101
Stone Mountain, GA 300873637
📞 7704697000fax 7708790436

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #05335 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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