McDavid M. Mahaffey, M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MCDAVID M. MAHAFFEY, M.D., P.A.

Practice address

805 N Main St
Cleburne, TX 76033-3816

Phone

(817) 202-3978

Fax

(817) 202-3978

NPI assigned

Sep 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

McDavid M Mahaffey, M.D.NPI 1124163811

Title

Owner/Staff Provider

Phone

(817) 933-5959

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• McDavid M Mahaffey MD PA -Godley

  • Family Medicine Physician
  • Godley, TX
  • NPI 1164287090

  O20211012000388

  Same enrollment

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24667/brand/1/csg/1/fhir/r4

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• McDavid M Mahaffey, MD

  • Family Medicine Physician
  • Cleburne, TX
  • NPI 1124163811
  Medicare reassignment Care Compare group NPD Authorized official
• Cathrine Susanne Kelton, LPC-S

  • Professional Counselor
  • Cleburne, TX
  • NPI 1134505365
  Medicare reassignment Care Compare group NPD
• Steven Norman Martin, M.D.

  • Family Medicine Physician
  • Cleburne, TX
  • NPI 1215974787
  Medicare reassignment Care Compare group NPD
• Charla Sperring, DO

  • Family Medicine Physician
  • Cleburne, TX
  • NPI 1871940965
  Medicare reassignment Care Compare group NPD
• Sarah Nicole Odom, FNP-C

  • Family Nurse Practitioner
  • Godley, TX
  • NPI 1598495095
  Medicare reassignment NPD
• Nance D Hicks, D0

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1588656409
  NPD (past)
• Joe Stanley Johnson, MD

  • Family Medicine Physician
  • Cleburne, TX
  • NPI 1801893474
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1427726587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N MAIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333816",
            "telephone_number": "817-202-3976",
            "fax_number": "817-202-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N MAIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333816",
            "telephone_number": "817-202-3978",
            "fax_number": "817-202-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDAVID M. MAHAFFEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-06-03",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "MAHAFFEY",
        "authorized_official_first_name": "MCDAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/STAFF PROVIDER",
        "authorized_official_telephone_number": "817-933-5959",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "1V2363",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaina McBryde-Pruitt, LMSW
• Jasmyn McCanlies, LPC
• Karis Nicole McCaslin, RN
• Sarah Jaleh McClellen
• Jividen James McCoy, PA-C
• Amanda McGee
• Sheryl Leona McKay, C.O.T.A.
• Dawn McKinney-Hammock, AG/ACNP-BC, CCRN
• Linda Lee McMullin, PTA
• Reagan McNab

• Family Medicine Physician in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.