Active NPI
Clint Dylan Gunter
- Family Nurse Practitioner
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 906882
- Practice address
- 1211 S Gloster St Ste a
Tupelo, MS 38801-6548 - Phone
- (662) 767-4200
- NPI assigned
- Sep 10, 2024
- Last updated
- Jun 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 906882 | MS | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 906882 | MS |
Addresses
Primary practice location
1211 S Gloster St Ste a
Tupelo, MS 38801-6548
Mailing address
171 Maffett Rd
Pontotoc, MS 38863-6935
Phone (662) 488-5330
Other practice location 1
100 Baptist Memorial Cir Ste 330
Oxford, MS 38655-4477
Phone (662) 767-4200
Other practice location 2
171 Maffett Rd
Pontotoc, MS 38863-6935
Phone (662) 488-5330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 S Gloster St
Suite a
Tupelo, MS 38801-6548
Phone (662) 767-4200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Orthopedic Group of Ms PLLC | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Specialty Orthopedic Group of Mississippi PLLC | Current | Accepting new patients | |
| Specialty Orthopedic Group of Mississippi PLLC | Current | Accepting new patients |
Locations
100 Baptist Memorial Cir
Ste 330
Oxford, MS 38655
Phone 6627674200 ext. 1057
723 Concordia Ave
Oxford, MS 38655
723 Concordia Ave
Ste 102
Oxford, MS 38655
Phone 66276742001057
1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380
Interoperability endpoints
- cgunter660231@direct.bmhcc.org
- clintgunter@nmhs.medalliesdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1639553506
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Orthopaedic Surgery Physician
- Senatobia, MS
- NPI 1801491352
-
dba SOGM Oxford
- Orthopaedic Surgery Physician
- Oxford, MS
- NPI 1093177685
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
-
dba Tishomingo Co Hospital
- General Acute Care Hospital
- Iuka, MS
- NPI 1548376700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1619703485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MAFFETT RD",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388636935",
"telephone_number": "662-488-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 S GLOSTER ST STE A",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016548",
"telephone_number": "662-767-4200"
}
],
"practiceLocations": [
{
"address_1": "100 Baptist Memorial Cir Ste 330",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "MS",
"postal_code": "386554477",
"country_code": "US",
"telephone_number": "662-767-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "171 Maffett Rd",
"address_purpose": "LOCATION",
"city": "Pontotoc",
"state": "MS",
"postal_code": "388636935",
"country_code": "US",
"telephone_number": "662-488-5330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUNTER",
"first_name": "CLINT",
"middle_name": "DYLAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-10",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "906882",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MS",
"license": "906882",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.