| NPI | 1215344619 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2014-07-17 |
| Last Updated | 2025-01-16 |
| Mailing Address | Po Box 60447 Charlotte, NC 28260-0447 United States 📍 View Map |
| Primary Practice Address | 5145 Sellers Rd Shallotte, NC 28470-3405 United States Phone: (910) 754-4441 | Fax: (910) 754-5307 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 2255A2300X – Specialist/Technologist, Athletic Trainer | SC | 661 |
| No | 363A00000X – Physician Assistant | NC | - |
| Yes | 363A00000X – Physician Assistant | NC | 0010-12026 |
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About NPI 1215344619
Scott Christopher Ganucheau MSPAS, PA-C, ATC is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1215344619. The primary specialty listed is Physician Assistant. The provider is located in Shallotte, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-07-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1215344619?
NPI 1215344619 belongs to Scott Christopher Ganucheau MSPAS, PA-C, ATC, a Physician Assistant in Shallotte, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1215344619 active?
The current status of NPI 1215344619 in the NPPES registry is Active. The record was last updated on 2025-01-16.
What specialty is NPI 1215344619?
NPI 1215344619 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1215344619?
You can verify NPI 1215344619 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1215344619?
The primary practice address on file for NPI 1215344619 is 5145 Sellers Rd, Shallotte, NC 28470-3405. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1215344619 issued?
NPI 1215344619 was first issued (enumerated) on 2014-07-17. The NPPES record was last updated on 2025-01-16.
Practice Location Map
Scott Christopher Ganucheau is located at 5145 Sellers Rd, Shallotte, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Scott Christopher Ganucheau. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1215344619. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Specialist/Technologist, Athletic Trainer | 661 | SC |
| Physician Assistant | 0010-12026 | NC |