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

Individual provider Nurse Practitioner · NPI 1629634506

Matt K Gatlin is a Nurse Practitioner in Gulfport, Mississippi. Practices with Memorial Hospital at Gulfport, a 470-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019
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Practice location Address checks out

1340 Broad Ave Ste 300
Gulfport, MS 39501-2404
Phone: (228) 575-2700
Fax: (228) 575-2710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 903251 (MS)

Record details

NPI number1629634506
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2019
Last updated in NPPESMay 15, 2019
Mailing address1340 Broad Ave Ste 300, Gulfport, MS 39501-2404

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Gulfport