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

Madison Bennett Stuckey

Individual provider Nurse Practitioner · NPI 1801664222

Madison Bennett Stuckey is a Nurse Practitioner in Grenada, Mississippi. Qualified in 2023, 3 years ago. Practices with MS State Department of Health, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023

Practice location Address checks out

1240 Fairground Rd
Grenada, MS 38901-4516
Phone: (601) 624-1866
Fax: (601) 364-2670
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 906398 (MS)

Record details

NPI number1801664222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 14, 2023
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address3156 Lawson St, Jackson, MS 39213-5754

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ms State Department Of Health — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Grenada