CARLY ROSE MADEEN (PA-C) – Physician Assistant, NPI 1114780491
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
395 PHYSICIAN ASSISTANT in MS
Provider Addresses for CARLY ROSE MADEEN (PA-C)
5 SHERRILL ST
STARKVILLE, MS 397591113
Phone: (815) 520-2152
Type: Mailing
106 STRANGE RD
STARKVILLE, MS 397592540
Phone: (601) 910-3004
Type: Location
1659 Lelia Dr
Jackson, MS 392164818
Phone: (601) 910-3004
Type: Location
815 Highway 80 E
Clinton, MS 390565252
Phone: (601) 910-3004
Type: Location
601 BUCKNER ST
STARKVILLE, MS 397597172
Phone: (815) 520-2152
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $672.
Total Amount is formed as General ($672) + Research ($0) + Ownership ($0) = $672.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($232).
Total Amount
$672
General + Research + Ownership
Payments
34
Total payment records
General Amount
$672
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $232 |
| Janssen Biotech, Inc. | $100 |
| Lilly USA, LLC | $74 |
| Dermavant Sciences, Inc. | $62 |
| E.R. Squibb & Sons, L.L.C. | $40 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240305002124 | I | Physician Assistant | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 39759)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MS | |
| D E R M A T O L O G Y | MS | |
| D E R M A T O L O G Y | MS | |
| D E R M A T O L O G Y | MS | |
| D E R M A T O L O G Y | MS | |
| Dermatology, Pediatric Medicine | GA | |
| Nurse Practitioner | MS | |
| Physician Assistant | MS |
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