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

Ryan James Gillentine, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700520822

Ryan James Gillentine, DO is an Internal Medicine in Tupelo, Mississippi. Graduated from William Carey University College of Osteopathic Medicine in 2022, 4 years ago. Practices with North Mississippi Medical Center, Inc, a 362-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Trained at
William Carey University College of Osteopathic Medicine
Licensed in
MS
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801-4934
Phone: (662) 377-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35544 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700520822
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 25, 2022
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address808 Varsity Dr, Tupelo, MS 38801-4613

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice North Mississippi Medical Center, Inc. — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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