DR. EARL L MAHAFFEY (NPI# 1689692972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689692972 |
| Entity Type | Individual |
| Full Name | DR. EARL L MAHAFFEY |
| Credential | M.D. |
| Practice Address |
1014 Rose St Jefferson Davis General Hospital Prentiss MS 39474-5271 |
| Mailing Address |
Po Box 667 Prentiss MS 39474-0667 |
| Practice Telephone | 6017922200 |
| Practice Fax Number | 6017922345 |
| Mailing Telephone | 6017922200 |
| Mailing Fax Number | 6017922345 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 10777 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 1130335 | 05 |
| Street Address |
1014 ROSE ST JEFFERSON DAVIS GENERAL HOSPITAL |
| City | PRENTISS |
| State | MS |
| Zip Code | 39474-5271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043241946 | Prentiss Regional Hospital and Extended Care Facility, Inc. | Clinic/Center | 1014 Rose St, Suite A, Prentiss, MS 39474 | 2006-07-06 |
| 1104271931 | Rhonda Cox | Nurse Practitioner | 1014 Rose St, Prentiss, MS 39474-5271 | 2016-04-29 |
| 1689952707 | Forrest County General Hospital | Clinic/Center | 1014 Rose St, Suite A, Prentiss, MS 39474-5271 | 2011-07-22 |
| 1245527902 | Laura Jackson Miller | Family Medicine | 1014 Rose St, Prentiss, MS 39474-5271 | 2011-07-01 |
| 1245323914 | Mary Sue Watkins | Nurse Practitioner | 1014 Rose St, Prentiss, MS 39474-5271 | 2006-10-02 |
| 1194745315 | Michele Bryant Mahaffey | Nurse Practitioner | 1014 Rose St, Suite A, Prentiss, MS 39474-5271 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225520794 | Caring Hands Staffing,llc | In Home Supportive Care | 1802 Columbia Ave, Prentiss, MS 39474 | 2018-05-31 |
| 1891183208 | Katie Daley Rush | Nurse Practitioner | 1014 Rose St., Ste. A, Prentiss, MS 39474 | 2015-01-07 |
| 1841621885 | Living Hope; LLC | Assisted Living Facility | 1287 Fred Street, Prentiss, MS 39474 | 2013-12-02 |
| 1922317197 | Martha Ann Stringer | Pharmacist | 1635 Columbia Ave., Prentiss, MS 39474 | 2010-10-05 |
| 1427361666 | Caring Hands Personal Care LLC | Home Health | 1814 Columbia Ave. Ste. B, Prentiss, MS 39474 | 2010-07-16 |
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1730308206 | James Russell Dumas Jr. | Dentist | 7115 Hwy 13, Prentiss, MS 39474 | 2007-04-24 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1225167430 | Prentiss Regional Hospital and Ecf, Inc. | Skilled Nursing Facility | 1320 Winfield St., Prentiss, MS 39474 | 2007-03-05 |
| 1033292727 | Vonpatton's, LLC | Durable Medical Equipment & Medical Supplies | 2218 Columbia Ave, Prentiss, MS 39474 | 2006-10-24 |
| Find all providers in zip 39474 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447365606 | Olivia D Moran | Family Medicine | 1014 Rose Street, Prentiss, MS 39474 | 2006-08-20 |
| 1245527902 | Laura Jackson Miller | Family Medicine | 1014 Rose St, Prentiss, MS 39474-5271 | 2011-07-01 |
| 1215023122 | Hattiesburg Clinic Pa | Family Medicine | 1014 Rose Street, Prentiss, MS 39474 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1003415266 | Christian Fortenberry | Family Medicine | 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 | 2020-10-20 |
| 1457967226 | Tiffine Lynn Prisock | Family Medicine | 24978 Ms-15, Mathiston, MS 39752 | 2020-09-17 |
| 1851902860 | Jasmine Lester | Family Medicine | 538 Getwell Rd S, Hernando, MS 38632-9585 | 2020-08-12 |
| 1942810569 | Ericka Marcene Williams | Family Medicine | 1031 Northridge Rd Ste A, Baldwyn, MS 38824-1173 | 2020-08-07 |
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1831707470 | Rebecca Holmes | Family Medicine | 42 Atley Holmes Rd # Rs, Jayess, MS 39641-8272 | 2020-07-20 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.