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

Matthew Tyler Kittrell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891689832

Matthew Tyler Kittrell is a Physician Assistant in Tupelo, Mississippi. Qualified in 2025, 1 year ago. Practices with North Mississippi Medical Center Services LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
1
Licensed in
MS
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

4250 S Eason Blvd
Tupelo, MS 38801-6549
Phone: (662) 377-5265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00906 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891689832
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address4250 S Eason Blvd, Tupelo, MS 38801-6549

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice North Mississippi Medical Center Services Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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