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

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

Practice location Address checks out

1340 Broad Ave Ste 300
Gulfport, MS 39501-2404
Phone: (228) 575-2700
Fax: (228) 575-2710
Show map & directions

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

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