SCOTT CHRISTOPHER GANUCHEAU MSPAS PA-C ATC NPI 1215344619

NPI Information

  • NPI: 1215344619
  • Provider Name: SCOTT CHRISTOPHER GANUCHEAU, MSPAS, PA-C, ATC
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5145 SELLERS RD
    SHALLOTTE, NC
    ZIP 28470
  • Phone: (910) 754-4441

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NPI Details

Scott Christopher Ganucheau, MSPAS, PA-C, ATC is a physician assistant in Shallotte, NC with 4 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Scott Christopher Ganucheau, MSPAS, PA-C, ATC NPI is 1215344619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5145 SELLERS RD
SHALLOTTE, NC
ZIP 28470-405
Phone: (910) 754-4441
Fax: (910) 754-5307

The NPI 1215344619 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Automated urinalysis test (HCPCS:81003)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection, methylprednisolone sodium succinate, up to 125 mg (HCPCS:J2930)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 7/17/2014 and was last updated on 1/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic Trainer661SOUTH CAROLINANo
2363A00000XPhysician AssistantNORTH CAROLINANo
3363A00000XPhysician Assistant0010-12026NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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