Earl L Mahaffey (NPI# 1689692972, PAC ID# 5799790978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1689692972 |
| PAC ID by PECOS | 5799790978 |
| Professional Enrollment ID | I20060208000758 |
| Full Name | Earl L Mahaffey |
| Organization Legal Name | KEYSTONE HOSPITALIST SERVICES OF MS INC |
| Address |
1102 Rose St Prentiss MS 39474-5200 |
| Phone Number | 6017924276 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 7517103864 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250002 | TISHOMINGO HEALTH SERVICES INC |
| 251326 | JEFFERSON DAVIS GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1102 Rose St, Prentiss, MS 39474-5200 | 6017924276 | KEYSTONE HOSPITALIST SERVICES OF MS INC |
| 100 Hospital Dr, Tylertown, MS 39667-2022 | 6018762122 | KEYSTONE HOSPITALIST SERVICES OF MS INC |
| Organization Legal Name | KEYSTONE HOSPITALIST SERVICES OF MS INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan L Underwood | Family Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Johnny R Bullock | Internal Medicine | Keystone Hospitalist Services of Ms Inc | 100 Hospital Dr, Tylertown, MS 39667-2022 |
| Victor Oluwaseun Sonaike | Family Medicine | Keystone Hospitalist Services of Ms Inc | 130 Highland Pkwy, Picayune, MS 39466-5574 |
| Daniel G Stevens | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Jeffrey Tipton | Nurse Practitioner | Keystone Hospitalist Services of Ms Inc | 15200 Community Rd, Gulfport, MS 39503-3085 |
| Sharon Mitchell Collins | Family Medicine | Keystone Hospitalist Services of Ms Inc | 100 Hospital Dr, Tylertown, MS 39667-2022 |
| Herbert Floyd | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Arthur A Levy | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| O'neil J Pyke | Internal Medicine | Keystone Hospitalist Services of Ms Inc | 100 Hospital Dr, Tylertown, MS 39667-2022 |
| Peter J Jensen | Family Medicine | Keystone Hospitalist Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Street Address |
1102 ROSE ST |
| City | PRENTISS |
| State | MS |
| Zip | 39474-5200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan L Underwood | Family Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Daniel G Stevens | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Herbert Floyd | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Arthur A Levy | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsa Temple | Nurse Practitioner | Family Health Care Clinic Inc | 150 J E Johnson Rd, Prentiss, MS 39474-3101 |
| Michele B Mahaffey | Nurse Practitioner | Forrest County General Hospital | 1014 Rose St, Suite A, Prentiss, MS 39474-5271 |
| Rasheeda C Hall | Family Practice | Forrest County General Hospital | 1014 Rose St, Suite A, Prentiss, MS 39474-5271 |
| Jaishankar Jagadeesan | Internal Medicine | 972 Columbia Ave, Prentiss, MS 39474-5405 |
| City | PRENTISS |
| Zip Code | 39474 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | PRENTISS + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Earl L Mahaffey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.