Jenna Gaddy

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R901658 Issued in MS

Practice address

104 W Railroad Ave S
Crystal Springs, MS 39059-2111

Phone

(601) 892-3063

Fax

(888) 927-0375

NPI assigned

Jul 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Mississippi School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medical Clinic of Crystal Springs PLLCGroup PAC ID 6002894706, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057
• Copiah County Medical Center Hospital, Hazlehurst, MS, CCN 251327
• Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgaddy81608@ummc.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DFIDBA/Endpoint/DFIDBA

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.

• Family Medical Clinic of Crystal Springs PLLC

  • Family Medicine Physician
  • Crystal Springs, MS
  • NPI 1205915998
  Medicare reassignment Care Compare group NPD
• Murphy S. Martin, M.D., PLLC

  • Nephrology Physician
  • Jackson, MS
  • NPI 1295963742
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD

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

• Copiah County Medical Center

  • Critical Access Hospital
  • Hazlehurst, MS
  • NPI 1588667281
  Care Compare affiliation
• King'S Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  Care Compare affiliation
• Mississippi Baptist Medical Center, Inc.

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1710909585
  Care Compare affiliation

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1114470143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W RAILROAD AVE S",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592111",
            "telephone_number": "601-892-3063",
            "fax_number": "888-927-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W RAILROAD AVE S",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592111",
            "telephone_number": "601-892-3063",
            "fax_number": "888-927-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDY",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R901658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enduracare Acute Care Services LLC
• James Wilfred Ervin Jr., M.D.
• Family Medical Clinic of Crystal Springs PLLC
• First Care
• Freedom Prosthetics Ms LLC
• Robert A. Gannaway, M.D.
• Guardian Care LLC.
• Hands of Goddess
• Macey Lee Harvey, DPT
• Healthy Heart and Mind Behavioral Health Services, LLC

• Nurse Practitioner in Crystal Springs, MS
• Providers in Crystal Springs, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.