Active NPI
Michele Bryant Mahaffey, FNP
- Family Nurse Practitioner
- Prentiss, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R667552
- Practice address
- 1014 Rose St
Suite a
Prentiss, MS 39474-5271 - Phone
- (601) 792-2200
- Fax
- (601) 792-2345
- NPI assigned
- Jul 20, 2006
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R667552 | MS | Primary |
Addresses
Primary practice location
1014 Rose St
Suite a
Prentiss, MS 39474-5271
Mailing address
PO Box 667
1014 Rose Street Suite a
Prentiss, MS 39474-0667
Phone (601) 792-2200
Other practice location 1
2650 Beach Blvd Ste 40
Biloxi, MS 39531-4517
Phone (228) 200-8451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05851817 | Medicaid | MS | |
| 12117492 | Other | MS | CAQH |
Other names 1
- Michele Bryant Coward
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michele.mahaffey.1@29601.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1014 Rose St
Suite a
Prentiss, MS 39474-5271
Phone (601) 792-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R667552 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
1014 Rose St
Ste A
Prentiss, MS 39474
Phone (601) 792-2200
1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Hospital Unit
- Hattiesburg, MS
- NPI 1295837631
-
dba Highland Center for Women's Health RHC
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1043820426
-
dba Jefferson Davis Rural Health Clinic
- Rural Health Clinic/Center
- Prentiss, MS
- NPI 1689952707
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jefferson Davis General Hospital
- Critical Access Hospital
- Prentiss, MS
- NPI 1295013316
-
- Home Health Agency
- Hattiesburg, MS
- NPI 1336256700
-
dba Marion General Hospital
- General Acute Care Hospital
- Columbia, MS
- NPI 1427320993
-
dba Enhabit Home Health & Hospice
- Home Health Agency
- Hattiesburg, MS
- NPI 1760416754
-
dba Magee General Hospital
- General Acute Care Hospital
- Magee, MS
- NPI 1679553994
-
- Home Health Agency
- McComb, MS
- NPI 1255401642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1194745315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 667",
"address_2": "1014 ROSE STREET SUITE A",
"city": "PRENTISS",
"state": "MS",
"postal_code": "394740667",
"telephone_number": "601-792-2200",
"fax_number": "601-792-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 ROSE ST",
"address_2": "SUITE A",
"city": "PRENTISS",
"state": "MS",
"postal_code": "394745271",
"telephone_number": "601-792-2200",
"fax_number": "601-792-2345"
}
],
"practiceLocations": [
{
"address_1": "2650 Beach Blvd Ste 40",
"address_purpose": "LOCATION",
"city": "Biloxi",
"state": "MS",
"postal_code": "395314517",
"country_code": "US",
"telephone_number": "228-200-8451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHAFFEY",
"first_name": "MICHELE",
"middle_name": "BRYANT",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2026-09-29",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R667552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05851817",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12117492",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michele.mahaffey.1@29601.direct.athenahealth.com",
"affiliation": "N",
"address_1": "2650 Beach Blvd Ste 40",
"city": "Biloxi",
"state": "MS",
"country_code": "US",
"postal_code": "395314517",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "COWARD",
"middle_name": "BRYANT",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Prentiss, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.