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

Dr. Jacques Ganem, MD

Individual provider Specialist · NPI 1407896202

Dr. Jacques Ganem, MD is an Urology in Charlotte, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1993, 33 years ago. Practices with Stone Institute of the Carolinas LLC, a 28-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
33
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1718 E 4th St Ste 807
Charlotte, NC 28204-3260
Phone: (704) 375-5755
Fax: (704) 335-3380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 2254900 (NC)
Specialist Taxonomy 174400000X · Licence 9800540 (NC)

Record details

NPI number1407896202
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESAugust 5, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Stone Institute Of The Carolinas Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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