Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addison Passman

Individual provider Registered Nurse · NPI 1861255614

Addison Passman is a Nurse Practitioner in Madison, Mississippi. Qualified in 2024, 2 years ago. Practices with River Oaks Management Company LLC, a 34-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
2
Licensed in
MS, TN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

200 Key DR
Madison, MS 39110-7361
Phone: (601) 605-2085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 907046 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 274416 (TN)

Record details

NPI number1861255614
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address200 Key Dr, Madison, MS 39110-7361

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice River Oaks Management Company Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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