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Deactivated NPI 1194879775 Deactivated / Inactive NPI Male Practitioner

Leslie Floyd , PA

Physician Assistant • Tempe, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Leslie Floyd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2007
NPI Deactivation Date July 17, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Leslie Floyd, PA was a registered Physician Assistant practicing in Tempe, AZ. Throughout an active medical career spanning 18 years, Leslie Floyd provided care at the practice location at 5030 S MILL AVE until profile deactivation on 2025-07-17.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection of trigger points, placement of strapping to chest. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5030 S Mill Ave
Suite D12

Tempe, AZ 852826833

Telephone 4808942823
Fax 4807566663
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tempe, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
76 Specialists

Practicing in Tempe, AZ (3711 Statewide)

Telehealth Adoption Rate
19.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
34 12 $116.00 $73.61
20553 Injection of trigger points, 3 or more muscles
16 11 $104.00 $48.86

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 2005

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Kara Shieh

Physician Assistant

NPI 1124767306
Adrian Sutter , PA-C

Physician Assistant

NPI 1154673408

Physician Assistant (Certified)

Alexandra Lyons , FNP

Nurse Practitioner - Family

NPI 1235889205

Family Nurse Practitioner

Dr. Curtis Page , MD

Family Medicine

NPI 1295730539

Doctor of Medicine (M.D.)

Julie Rake , PA-C

Physician Assistant

NPI 1386727741

Physician Assistant (Certified)

Jessica Symmes , FNP

Nurse Practitioner - Family

NPI 1467152918

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
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NPI Profile Deactivated July 17, 2025

Record deactivated on July 17, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2023

Durable Medical Equipment & Medical Supplies (License #7209350001 in AZ)

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Updated Practice Location March 01, 2023

Registered at 3011 S LINDSAY RD STE 101, GILBERT, AZ 852954333 (Tel: 4807262500)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2023

Durable Medical Equipment & Medical Supplies (License #7939960001 in AZ)

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

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Updated Practice Location December 13, 2017

Registered at 3130 E BASELINE RD STE 107, MESA, AZ 852047290 (Tel: 4803451980)

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Updated Business Mailing Address December 13, 2017

Registered at 1839 S ALMA SCHOOL RD STE 354, MESA, AZ 852103028 (Tel: 4807262287)

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Provider Name / Credentials Updated December 13, 2017

Recorded as LESLIE FLOYD, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Durable Medical Equipment & Medical Supplies (License #7046960001 in AZ)

NPI Profile Active July 24, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 24, 2015

Registered at 5030 S MILL AVE, SUITE D12, TEMPE, AZ 852826833 (Tel: 4808942823)

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Updated Business Mailing Address July 24, 2015

Registered at PO BOX 64568, PHOENIX, AZ 850824568 (Tel: 4804219700)

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Provider Name / Credentials Updated July 24, 2015

Recorded as LESLIE FLOYD, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2015

Physician Assistant (License #2005 in AZ)

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Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194879775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 24, 2015
Deactivation Date: July 17, 2025

Mailing Address

Po Box 64568

Phoenix, AZ 850824568

Phone: 4804219700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.