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

Tina Marie Gustavis, EDS, GCC

Individual provider Case Manager/Care Coordinator · NPI 1699610642

Tina Marie Gustavis, EDS, GCC is a Case Manager/Care Coordinator in Clinton, Mississippi. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

604 Highway 80 W Ste R
Clinton, MS 39056-4108
Phone: (601) 473-2016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1699610642
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDS , GCC
Sole proprietorNo
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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