Individual provider Active NPI

Earl L Mahaffey, M.D.

  • Family Medicine Physician
  • Biloxi, MS
National Provider Identifier
1689692972
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10777 Issued in MS
Practice address
2650 Beach Blvd Ste 40
Biloxi, MS 39531-4517
Phone
(228) 273-4611
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10777 MS Primary

Addresses

Primary practice location

2650 Beach Blvd Ste 40
Biloxi, MS 39531-4517

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other practice location 1

12057 Highway 49 Ste C
Gulfport, MS 39503-3177
Phone (228) 832-9385

Other identifiers 1

IdentifierTypeStateIssuer
1130335MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address earl.mahaffey.1@29601.direct.athenahealth.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000758 MS Practitioner - Family PracticePractitioner - General Practice 5799790978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care Ms PCGroup PAC ID 0143694190, 14 clinicians

Practice addresses (Care Compare)

2650 Beach Blvd
Suite 40
Biloxi, MS 39531-4517
Phone (228) 273-4611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10777MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Ms PC Family Medicine CurrentSince Jul 7, 2025 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Jul 5, 2013 Accepting new patients
Centerwell Senior Primary Care Ms PC Family Medicine CurrentSince Jul 7, 2025 Accepting new patients
Marion General Hospital Past Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2650 Beach Blvd
Ste 40
Biloxi, MS 39531
Phone (228) 273-4611

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

12057 Highway 49
Ste C
Gulfport, MS 39503
Phone (228) 831-1140

1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

Interoperability endpoints

  • Direct secure messaging: earl.mahaffey@centerwell.eclinicaldirectplus.com

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1689692972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000",
            "fax_number": "786-522-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BEACH BLVD STE 40",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314517",
            "telephone_number": "228-273-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12057 Highway 49 Ste C",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395033177",
            "country_code": "US",
            "telephone_number": "228-832-9385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "EARL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "10777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1130335",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "earl.mahaffey.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "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": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.