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

Carly Rose Madeen, PA-C

Individual provider Physician Assistant · NPI 1114780491

Carly Rose Madeen, PA-C is a Physician Assistant in Starkville, Mississippi. Qualified in 2023, 3 years ago. Practices with Magnolia Dermatology, PLLC, a 12-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

106 Strange Rd
Starkville, MS 39759-2540
Phone: (601) 910-3004
Show map & directions

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

Additional practice locations (2)

  • 815 Highway 80 E, Clinton, MS 39056-5252 — (601) 910-3004
  • 1659 Lelia Dr, Jackson, MS 39216-4818 — (601) 910-3004

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00771 (MS)

Record details

NPI number1114780491
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 31, 2024
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Magnolia Dermatology, Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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