Individual provider Active NPI

Madison Mahaffey, OT

  • Occupational Therapist
  • Flowood, MS
National Provider Identifier
1679292817
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3989 Issued in MS
Practice address
104 Burney Dr
Flowood, MS 39232-6621
Phone
(601) 987-8202
Fax
(601) 718-0293
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3989 MS Primary

Addresses

Primary practice location

104 Burney Dr
Flowood, MS 39232-6621

Mailing address

PO Box 30594
Charlotte, NC 28230-0594
Phone (601) 987-8202

Other practice location 1

7213 S Siwell Rd Ste A
Byram, MS 39272-9776
Phone (601) 346-9191

Other practice location 2

1325 E Fortification St
Jackson, MS 39202-2442
Phone (601) 354-4488 ext. 1360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220908003582 MS Practitioner - Occupational Therapist in Private Practice 0244614329 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Orthopaedic Clinic, PLLCGroup PAC ID 0941215255, 49 clinicians

Practice addresses (Care Compare)

104 Burney Dr
Flowood, MS 39232-6621
Phone (601) 987-8200

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
82.12
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT3989MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Orthopaedic Clinic PLLC CurrentSince May 27, 2024 Accepting new patients
Drayer Physical Therapy Mississippi LLC Occupational Therapist CurrentSince Aug 22, 2022 Accepting new patients
Mississippi Sports Medicine & Orthopaedic Center CurrentSince Aug 30, 2022 Accepting new patients
Capital Orthopaedic Clinic, PLLC CurrentSince May 27, 2024 Accepting new patients
Drayer Physical Therapy Mississippi LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

7213 S Siwell Rd
Ste A
Byram, MS 39272
Phone (601) 346-9191

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

104 Burney Dr
Flowood, MS 39232
Phone (601) 987-8202

1325 E Fortification St
Jackson, MS 39202
Phone (601) 354-4488

106 Highland Way
Ste 102
Madison, MS 39110

953 Highway 51
Madison, MS 39110
Phone (769) 867-8270

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1679292817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30594",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282300594",
            "telephone_number": "601-987-8202",
            "fax_number": "601-718-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BURNEY DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392326621",
            "telephone_number": "601-987-8202",
            "fax_number": "601-718-0293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7213 S Siwell Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392729776",
            "country_code": "US",
            "telephone_number": "601-346-9191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 E Fortification St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022442",
            "country_code": "US",
            "telephone_number": "601-354-4488 x1360",
            "fax_number": "601-351-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "MADISON",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.