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
- 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
171 Maffett Rd
Pontotoc, MS 38863-6935
Phone (662) 488-5330
Other practice location 2
100 Baptist Memorial Cir Ste 330
Oxford, MS 38655-4477
Phone (662) 767-4200
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114000819 | MS | Practitioner - Nurse Practitioner | 3274061692 | Reassigns benefits to 1 organization |
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
- Specialty Orthopedic Group of Mississippi PLLC
Practice addresses (Care Compare)
1211 S Gloster St
Suite a
Tupelo, MS 38801-6548
Phone (662) 767-4200
Hospital & facility affiliations
- Baptist Memorial Hospital North Ms
- North Mississippi Medical Center
- Magnolia Regional Health Center
- Tishomingo Health Services Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906882 | MS | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| Specialty Orthopedic Group of Mississippi PLLC | Current | Accepting new patients | |
| Specialty Orthopedic Group of Ms PLLC | Current | Accepting new patients | |
| Specialty Orthopedic Group of Mississippi PLLC | Current | Accepting new patients |
Locations
723 Concordia Ave
Oxford, MS 38655
723 Concordia Ave
Ste 102
Oxford, MS 38655
Phone 66276742001057
100 Baptist Memorial Cir
Ste 330
Oxford, MS 38655
Phone 6627674200 ext. 1057
1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380
Interoperability endpoints
- clintgunter@nmhs.medalliesdirect.net
- cgunter660231@direct.bmhcc.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1639553506
MS
-
- Orthopaedic Surgery Physician
- Senatobia, MS
- NPI 1801491352
-
- Orthopaedic Surgery Physician
- Oxford, MS
- NPI 1093177685
-
- Orthopaedic Surgery Physician
- Batesville, MS
- NPI 1063162469
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1508561978
-
- Orthopaedic Surgery Physician
- Eupora, MS
- NPI 1336949601
-
- Orthopaedic Surgery Physician
- New Albany, MS
- NPI 1467000927
-
- Orthopaedic Surgery Physician
- Starkville, MS
- NPI 1518573575
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
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
Hospital
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
Hospital
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": "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"
},
{
"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"
}
],
"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.