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

Jenna Gaddy

Individual provider Nurse Practitioner · NPI 1114470143

Jenna Gaddy is a Nurse Practitioner in Crystal Springs, Mississippi. Graduated from University of Mississippi School of Medicine in 2016, 10 years ago. Practices with Family Medical Clinic of Crystal Springs PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2016

Practice location Address checks out

104 W Railroad Ave S
Crystal Springs, MS 39059-2111
Phone: (601) 892-3063
Fax: (888) 927-0375
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R901658 (MS)

Record details

NPI number1114470143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2016
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address104 W Railroad Ave S, Crystal Springs, MS 39059-2111

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Family Medical Clinic Of Crystal Springs Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount