Individual provider Active NPI

Madison Becker, PA-C

  • Physician Assistant
  • Oxford, MS
National Provider Identifier
1144103169
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
723 Concordia Ave
Oxford, MS 38655-1989
Phone
(662) 767-4200
NPI assigned
Jul 28, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

723 Concordia Ave
Oxford, MS 38655-1989

Mailing address

629 Le Grande Ave
Waynesboro, VA 22980-6115
Phone (540) 471-7881

Other practice location 1

1211 S Gloster St Ste A
Tupelo, MS 38801-6548
Phone (662) 767-4200 ext. 1057

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008004768 MS Practitioner - Physician Assistant 7911404561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 S Gloster St
Suite a
Tupelo, MS 38801-6548
Phone (662) 767-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Orthopedic Group of Mississippi PLLC CurrentSince Sep 1, 2025 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Current Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

100 Baptist Memorial Cir
Ste 330
Oxford, MS 38655
Phone 6627674200 ext. 1057

723 Concordia Ave
Oxford, MS 38655

1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380

910 Mary Vance Dr
Tupelo, MS 38801
Phone (662) 377-6275

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1144103169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 LE GRANDE AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806115",
            "telephone_number": "540-471-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 CONCORDIA AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551989",
            "telephone_number": "662-767-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 S Gloster St Ste A",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016548",
            "country_code": "US",
            "telephone_number": "662-767-4200 x1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MADISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.