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

Jerry Swindell Ganus Jr.

Individual provider Peer Specialist · NPI 1972396463

Jerry Swindell Ganus Jr. is a Peer Specialist in Raeford, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

402 Harris Ave
Raeford, NC 28376-3112
Phone: (910) 875-5590
Fax: (910) 875-5008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 2024-9570-01 (NC)

Record details

NPI number1972396463
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 27, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

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