MCDAVID M MAHAFFEY MD PA -GODLEY
NPI 1164287090
Family Medicine in Godley, TX
About Mcdavid M Mahaffey Md Pa -godley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCDAVID M MAHAFFEY MD PA -GODLEY (NPI 1164287090) is a healthcare organization registered as a family medicine in Godley, Texas and active in the NPI registry since February 2024. The organization holds 2 active CLIA laboratory certificates and lists Mcdavid M Mahaffey, Owner/practicing Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mcdavid M Mahaffey Md Pa -godley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Mcdavid M Mahaffey MD PA -Godley, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2247435
Mcdavid M Mahaffey, MD, PA · Cleburne, TXCertificate of Waiver 45D2300098
Mcdavid M Mahaffey, Mdpa · Godley, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mcdavid M Mahaffey MD PA -Godley's NPI number?
The NPI number for Mcdavid M Mahaffey MD PA -Godley is 1164287090. It was assigned to this organization in the NPPES registry on February 20, 2024.
Where is Mcdavid M Mahaffey MD PA -Godley located?
Mcdavid M Mahaffey MD PA -Godley is located at 109 E Godley Ave, Godley, TX 76044. The listed phone number is (662) 289-0427.
What is Mcdavid M Mahaffey MD PA -Godley's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mcdavid M Mahaffey MD PA -Godley enrolled in Medicare?
Yes. Mcdavid M Mahaffey MD PA -Godley is registered in the Medicare PECOS enrollment system.
When is Mcdavid M Mahaffey MD PA -Godley's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mcdavid M Mahaffey MD PA -Godley?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Mcdavid M Mahaffey MD PA -Godley. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Mental Health Counselor (1) and Nurse Practitioner (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mcdavid M Mahaffey MD PA -Godley hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Mcdavid M Mahaffey MD PA -Godley accept?
Health plans from Molina Healthcare and WellPoint list Mcdavid M Mahaffey MD PA -Godley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mcdavid M Mahaffey MD PA -Godley was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mcdavid M Mahaffey Md Pa -Godley · NPI 1164287090
Family Medicine organization in Godley, Texas. Organization record, active in the CMS NPPES registry since February 20, 2024.
## Identity
- **NPI:** 1164287090 (Entity type: Organization)
- **Enumerated:** February 20, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Mcdavid M Mahaffey Md Pa -Godley)
- **Authorized official:** Mcdavid Mahaffey, OWNER/PRACTICING PROVIDER
## Practice location
- **Address:** 109 E GODLEY AVE, Godley, TX 76044-3787
- **Phone:** (662) 289-0427 · **Fax:** (817) 202-3978
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Mental Health Counselor (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164287090) · Data from the CMS NPPES public registry.