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

Mr. Gilbert Lynn Luckel Jr., AG-ACNP

Individual provider Nurse Practitioner · NPI 1275934580

Mr. Gilbert Lynn Luckel Jr., AG-ACNP is a Nurse Practitioner in Hattiesburg, Mississippi. Qualified in 2014, 12 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

101 Courtenay Cir
Hattiesburg, MS 39402-3176
Phone: (601) 579-5180
Fax: (601) 579-5374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence R884250 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence R884250 (MS)

Record details

NPI number1275934580
Entity typeIndividual (Type 1)
GenderMale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedSeptember 6, 2014
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Hattiesburg