LARRY ALTON GUNTER, CNS — NPI 1649155920 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Critical Care Medicine in CAMP LEJEUNE, NC)

CMS-1500 Box 24J / 33a • NPI

1649155920

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

364SC0200X (CMS 89)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Critical Care Medicine

Box 32 Service Location & ZIP+4

100 BREWSTER BLVD, CAMP LEJEUNE, NC, 28547-2575

✓ 9-Digit EDI 837 ZIP+4 (28547-2575)

Practice Phone & Referral Fax

(910) 450-5050

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1649155920 (LARRY ALTON GUNTER, CNS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1649155920` (NPI-1 Individual Practitioner)
Provider / Legal Name	LARRY ALTON GUNTER, CNS
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Critical Care Medicine NUCC Code: `364SC0200X` (Clinical Nurse Specialist, Critical Care Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	100 BREWSTER BLVD, CAMP LEJEUNE, NC, 28547-2575
Practice Telephone / Fax	Tel: (910) 450-5050
Administrative Mailing Address	723 GREENWICH PL, RICHLANDS, NC, 28574-1147
Enumeration & Last Sync	Enumerated: 2025-08-07 \| CMS Record Updated: 2025-08-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

100 BREWSTER BLVD, CAMP LEJEUNE, NC, 28547-2575

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Plain-English Taxonomy & CMS Crosswalk (364SC0200X)

What Does Taxonomy Code 364SC0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SC0200X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Critical Care Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 89 (Certified Clinical Nurse Specialist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Nurse Specialist, Critical Care Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LARRY ALTON GUNTER, CNS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`364SC0200X` — Clinical Nurse Specialist, Critical Care Medicine Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Critical Care Medicine	State: VA \| License: `0024192683` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LARRY ALTON GUNTER, CNS (NPI #1649155920)