Individual provider Active NPI

Michael Dayton Mahaffey

  • Acute Care Nurse Practitioner
  • Rutherfordton, NC
National Provider Identifier
1831974062
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5020890 Issued in NC
Practice address
139 Doctor Henry Norris Dr
Rutherfordton, NC 28139-3176
Phone
(828) 287-9260
Fax
(828) 287-4101
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Acute Care Nurse Practitioner 363LA2100X 5020890 NC Primary

Addresses

Primary practice location

139 Doctor Henry Norris Dr
Rutherfordton, NC 28139-3176

Mailing address

139 Doctor Henry Norris Dr
Rutherfordton, NC 28139-3176
Phone (828) 287-9260

Other practice location 1

1601 Greene St
Columbia, SC 29208-4001
Phone (803) 777-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422002402 NC Practitioner - Nurse Practitioner 9537684550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Rutherford Physician Practices LLCGroup PAC ID 0345466561, 38 clinicians

Practice addresses (Care Compare)

139 Doctor Henry Norris Dr
Rutherfordton, NC 28139-3176
Phone (828) 287-9260

Hospital & facility affiliations

  • Rutherford Regional Medical Center Hospital, Rutherfordton, NC, CCN 340013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Rutherford Physician Practices LLC Current Accepting new patients
DLP Rutherford Physician Practices LLC CurrentSince Feb 15, 2025 Accepting new patients
DLP Rutherford Physician Practices LLC CurrentSince Feb 15, 2025 Accepting new patients
DLP Rutherford Physician Practices LLC Past Accepting new patients

Locations

139 Dr Henry Norris Dr
Rutherfordton, NC 28139
Phone (828) 287-9260

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1831974062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 DOCTOR HENRY NORRIS DR",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281393176",
            "telephone_number": "828-287-9260",
            "fax_number": "828-287-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 DOCTOR HENRY NORRIS DR",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281393176",
            "telephone_number": "828-287-9260",
            "fax_number": "828-287-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Greene St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292084001",
            "country_code": "US",
            "telephone_number": "803-777-7412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "MICHAEL",
        "middle_name": "DAYTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5020890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

Verify at the official NPI Registry.