Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan McKenzie Gantous, PA-C

Individual provider Physician Assistant · NPI 1831985175

Jordan McKenzie Gantous, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2024, 2 years ago. Practices with Queen City Ear Nose and Throat PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3403 Steel Yard Ct
Charlotte, NC 28205-1262
Phone: (330) 241-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-15178 (NC)

Record details

NPI number1831985175
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Queen City Ear Nose And Throat Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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