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

MS. Miranda Street Sudduth, PA-C

Individual provider Medical Physician Assistant · NPI 1962804211

MS. Miranda Street Sudduth, PA-C is a Physician Assistant in Madison, Mississippi. Qualified in 2013, 13 years ago. Practices with Madison Medical Rheumatology LLC, a 3-clinician group. Licensed in Mississippi.

Years since qualifying
13
Licensed in
MS
In the registry since
2014
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

1607 Doctors Dr
Madison, MS 39110
Phone: (601) 927-2146
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00212 (MS)

Record details

NPI number1962804211
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2014
Last updated in NPPESMay 7, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Madison Medical Rheumatology Llc — 3 clinicians
Accepts Medicare assignment Not indicated

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