Madison Bennett Stuckey

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

906398 Issued in MS

Practice address

1240 Fairground Rd
Grenada, MS 38901-4516

Phone

(601) 624-1866

Fax

(601) 364-2670

NPI assigned

Dec 14, 2023

Sex

Female

Sole proprietor

Yes

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

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ms State Department of HealthGroup PAC ID 0244129245, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Ms State Department of Health

  • Community/Behavioral Health Agency
  • Jackson, MS
  • NPI 1053489260
  Medicare reassignment Care Compare group NPD
• Mississippi State Department of Health

  • Clinical Medical Laboratory
  • Jackson, MS
  • NPI 1255479630
  NPD
• Ms State Dept of Health

  • Long Term Care Pharmacy
  • Jackson, MS
  • NPI 1376606582
  NPD
• Mississippi State Department of Health

  dba Tombigbee Home Health Agency 4C

  • Home Health Agency
  • Columbus, MS
  • NPI 1932182458
  NPD (past)

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1801664222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 LAWSON ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392135754",
            "telephone_number": "601-624-1866",
            "fax_number": "601-364-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 FAIRGROUND RD",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014516",
            "telephone_number": "601-624-1866",
            "fax_number": "601-364-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "MADISON",
        "middle_name": "BENNETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Medical Center-Grenada Women's Services)
• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Center-Grenada Skilled Nursing)
• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Medical Center-Grenada Specialty Clinic)
• Teresa Kaye Stegall, N.P.
• Georgeanna Stokes
• Sunset Cardiovascular Services, LLC
• Mamie Swims, LCSW
• T. Kevin Braswell, MD P.a.
• Tallahatchie General Hospital (Holcomb Clinic)
• Hubert D Taylor II, DO

• Nurse Practitioner in Grenada, MS
• Providers in Grenada, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.