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RYAN JAMES GILLENTINE DO
NPI 1700520822
Internal Medicine in Tupelo, MS

Active since April 25, 2022PECOS EnrolledAccepts Medicare Assignment
830 S GLOSTER ST, TUPELO, MS 38801(662) 377-3000 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 2, 2025, May 4, 2022, Apr 25, 2022 (3 updates tracked since 2022).

About Ryan James Gillentine Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN JAMES GILLENTINE DO (NPI 1700520822) is an individual internal medicine provider in Tupelo, Mississippi, licensed in Mississippi (35544) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of William Carey University College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1700520822
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRYAN JAMES GILLENTINECredential: DO
Location Address830 S GLOSTER STTupelo, MS 38801-4934
Mailing Address808 Varsity DrTupelo, MS 38801-4613
Phone(662) 377-3000
Sole ProprietorNo
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2022
Enumeration DateApril 25, 2022
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1700520822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 35544
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
830 S GLOSTER ST, Tupelo, MS 38801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan James Gillentine Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719369354
PECOS Enrollment IDI20250715003670
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ELIZABETH ABEL CRNA
Nurse Anesthetist, Certified Registered
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-4394
WESLEY B BRUCE
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-3000
DR. ROBERT CARSON KIRKSEY M.D.
Emergency Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (866) 754-3852
NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLC
Internal Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-4685
NORTH MISSISSIPPI MEDICAL CENTER INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
830 S GLOSTER ST, 4TH FLOOR EAST TOWER
TUPELO, MS 38801
Lee County (662) 377-7170
JENNIFER L TAYLOR FNP-BC
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (205) 412-0585
KALISA MICKELL FNP
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-3000
JESSICA KATHRYN PIPPIN
Nurse Practitioner
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (888) 731-7611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Gillentine's NPI number?

The NPI number for Ryan Gillentine is 1700520822. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Ryan Gillentine located?

Ryan Gillentine practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-3000.

What is Ryan Gillentine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ryan Gillentine enrolled in Medicare?

Yes. Ryan Gillentine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ryan Gillentine accept?

Health plans from Blue Cross and Blue Shield of Alabama list Ryan Gillentine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Gillentine affiliated with any hospitals?

According to CMS data, Ryan Gillentine is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Ryan Gillentine was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.